Boys & Girls Club of Huntington County, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

BOYS & GIRLS CLUB OF HUNTINGTON COUNTY, INC

Practice address

608 E State St
Huntington, IN 46750-2923

Phone

(260) 359-1750

Fax

(260) 359-1757

NPI assigned

Oct 7, 2009

Last updated

Oct 7, 2009By 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

Mrs. Mandy L Reber

Title

Executive Director

Phone

(260) 359-1750

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254873600000",
    "number": "1295060317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 E STATE ST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467502923",
            "telephone_number": "260-359-1750",
            "fax_number": "260-359-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 E STATE ST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467502923",
            "telephone_number": "260-359-1750",
            "fax_number": "260-359-1757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS & GIRLS CLUB OF HUNTINGTON COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "last_updated": "2009-10-07",
        "status": "A",
        "authorized_official_last_name": "REBER",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "260-359-1750",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Kay Boner, PT
• Shelly S Boone, NP
• Hannah Boratenski
• Jeremy Boroff, PAC
• Laci Renea Boxell, BCBA
• Bradley Bibb MD PLLC
• Shannon Elise Brisbin, PA-C
• Laura M Brooks, PTA
• Terra L Brunson-Doll, MSW, LCSW
• C. Bryan Wait, M.D., Internal Medicine, P.C.

• Voluntary or Charitable Agency in Huntington, IN
• Providers in Huntington, IN by specialty
• Voluntary or Charitable Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; 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.