Organization Active NPI

Volusia/Flagler Family Young Men'S Christian Association

  • Health Educator
  • Deland, FL
National Provider Identifier
1346797750
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
VOLUSIA/FLAGLER FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION
Practice address
761 E International Speedway Blvd
Deland, FL 32724-2509
Phone
(386) 738-9622
Fax
(386) 822-9622
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Mrs. Teresa Rand
Title
President/Ceo
Phone
(386) 738-9622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

761 E International Speedway Blvd
Deland, FL 32724-2509

Mailing address

761 E International Speedway Blvd
Deland, FL 32724-2509
Phone (386) 738-9622

National Provider Directory

National Provider Directory
Tax ID family
The Young Men'S Christian Association of Sioux Falls2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

761 E International Speedway Blvd
Deland, FL 32724
Phone (386) 738-9622

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1346797750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 E INTERNATIONAL SPEEDWAY BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327242509",
            "telephone_number": "386-738-9622",
            "fax_number": "386-822-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 E INTERNATIONAL SPEEDWAY BLVD",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327242509",
            "telephone_number": "386-738-9622",
            "fax_number": "386-822-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOLUSIA/FLAGLER FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "RAND",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "386-738-9622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.