Young Men's Christian Association of Manitowoc, Wisconsin, Inc.

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

YOUNG MEN'S CHRISTIAN ASSOCIATION OF MANITOWOC, WISCONSIN, INC.

Practice address

205 Maritime Dr
Manitowoc, WI 54220-6826

Phone

(920) 682-0341

Fax

(920) 682-2620

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephen Martin Smith

Title

Chief Executive Director

Phone

(920) 482-1512

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1285181214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542210471",
            "telephone_number": "920-682-0341",
            "fax_number": "920-682-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARITIME DR",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542206826",
            "telephone_number": "920-682-0341",
            "fax_number": "920-682-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF MANITOWOC, WISCONSIN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "920-482-1512"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kay Yaeger, LAT, ATC
• Dona Yahola
• Ely Yang
• Naly Yang, PA-C
• Christina York, OTR
• Deanna Youngchild, PHARMACIST
• Sommer P Zabel, APSW
• Christopher A Zablocki, MD
• Andrea B Zahn, PT
• Scott E Zak, D.D.S.

• Health Educator in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Health Educator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.