Organization Active NPI

Young Men'S Christian Association of Michiana Inc.

  • Health Educator
  • South Bend, IN
National Provider Identifier
1255887188
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
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

Updated by the provider on Aug 31, 2016

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)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 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. Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.