Two Rivers Young Men's Christian Association Inc.

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

TWO RIVERS YOUNG MEN'S CHRISTIAN ASSOCIATION INC.

Practice address

2040 53Rd St
Moline, IL 61265-3650

Phone

(309) 797-3945

Fax

(309) 277-1792

NPI assigned

Dec 22, 2016

Last updated

Dec 22, 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

Mr. Michael Wennekamp

Title

Ceo

Phone

(309) 797-3945

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1336684695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 53RD ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653650",
            "telephone_number": "309-797-3945",
            "fax_number": "309-277-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 53RD ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612653650",
            "telephone_number": "309-797-3945",
            "fax_number": "309-277-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS YOUNG MEN'S CHRISTIAN ASSOCIATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "WENNEKAMP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-797-3945",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moe Phyu Tun, D.O.
• Melvin Turner III, H.I.S.
• Michael A Turner, MD
• Twin Rivers Physical Therapy, PC
• Two Rivers Pediatric Dentistry, L.L.C.
• Karen Uhrich, MS, RDN, LDN, CDE
• Tracy L Underwood, MSN FNP-C
• McKenna Unger
• Ileana Ungureanu, MD, PHD
• Unitypoint at Home

• Health Educator in Moline, IL
• Providers in Moline, IL by specialty
• Health Educator in Illinois

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