The Young Men'S Christian Association of Walla Walla

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF WALLA WALLA

Practice address

340 S Park St
Walla Walla, WA 99362-3249

Phone

(509) 525-8863

NPI assigned

Sep 7, 2016

Organization subpart

No

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

Authorized official

Name

Dominic Cortinas

Title

Director

Phone

(509) 525-8863

Specialties & licenses 1

Addresses

Locations

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": "1326595356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S PARK ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623249",
            "telephone_number": "509-525-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S PARK ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623249",
            "telephone_number": "509-525-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF WALLA WALLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "CORTINAS",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "509-525-8863"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Walla Walla, WA by specialty
• Health Educator in Washington

• 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.