Active NPI
Young Men'S Christian Association of Michiana Inc.
- Health Educator
- South Bend, IN
National Provider Identifier
1255887188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Legal business name
- YOUNG MEN'S CHRISTIAN ASSOCIATION OF MICHIANA INC.
- Doing business as
- YMCA of Michiana, Inc.
- Practice address
- 1201 Northside Blvd
South Bend, IN 46615-3921 - Phone
- (574) 287-6922
- Fax
- (574) 282-3752
- NPI assigned
- Aug 31, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Asleson
- Title
- President & Chief Executive Officer
- Phone
- (574) 287-9622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
1201 Northside Blvd
South Bend, IN 46615-3921
Mailing address
1201 Northside Blvd
South Bend, IN 46615-3921
Phone (574) 287-6922
Other names 1
- YMCA of Michiana, Inc.
National Provider Directory
National Provider DirectoryLocations
1201 Northside Blvd
South Bend, IN 46615
Phone (574) 287-6922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472601600000",
"number": "1255887188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 NORTHSIDE BLVD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466153921",
"telephone_number": "574-287-6922",
"fax_number": "574-282-3752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NORTHSIDE BLVD",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466153921",
"telephone_number": "574-287-6922",
"fax_number": "574-282-3752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF MICHIANA INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A",
"authorized_official_last_name": "ASLESON",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "574-287-9622",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "YMCA of Michiana, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.