Young Men'S Christian Association of Southeast Texas

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

YOUNG MEN'S CHRISTIAN ASSOCIATION OF SOUTHEAST TEXAS

Practice address

6760 9TH Ave
Port Arthur, TX 77642-6413

Phone

(409) 962-6644

Fax

(409) 963-1369

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

William Oliver

Title

Ceo

Phone

(409) 962-6644

Specialties & licenses 1

Addresses

Tax ID family

The Young Men'S Christian Association of Racine Wisconsin3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Young Men'S Christian Association of Racine, Wisconsin

  • Health Educator
  • Racine, WI
  • NPI 1700321734
  NPD tax ID
• Young Mens Christian Association

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Racine, WI
  • NPI 1962166744
  NPD tax ID

Locations

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1336682343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426413",
            "telephone_number": "409-962-6644",
            "fax_number": "409-963-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426413",
            "telephone_number": "409-962-6644",
            "fax_number": "409-963-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF SOUTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-962-6644"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winnie-Stowell Hospital District
• Roya Wood-Scott, D.D.S.
• Richard L Woodcroft, PA
• Matresa Lea Wooding, LCSW
• Lindsay Salter Wortham, MOT, OTR
• Jaycie Young, OT
• Roger Wayne Young, OD

• Health Educator in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Health Educator in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.