Organization Active NPI

The Family Young Men'S Christian Association of Black Hawk County,Iowa

  • Health Educator
  • Waterloo, IA
National Provider Identifier
1356898175
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
THE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION OF BLACK HAWK COUNTY,IOWA
Practice address
669 S Hackett Rd
Waterloo, IA 50701-5632
Phone
(319) 233-9531
Fax
(319) 232-4109
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Arlen Parrish Bruce
Title
Chief Financial Officer
Phone
(319) 233-3531

Specialties & licenses 1

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

Addresses

Primary practice location

669 S Hackett Rd
Waterloo, IA 50701-5632

Mailing address

669 S Hackett Rd
Waterloo, IA 50701-5632
Phone (319) 233-9531

National Provider Directory

National Provider Directory

Locations

669 S Hackett Rd
Waterloo, IA 50701
Phone (319) 233-9531

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1356898175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 S HACKETT RD",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015632",
            "telephone_number": "319-233-9531",
            "fax_number": "319-232-4109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 S HACKETT RD",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015632",
            "telephone_number": "319-233-9531",
            "fax_number": "319-232-4109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION OF BLACK HAWK COUNTY,IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "BRUCE",
        "authorized_official_first_name": "ARLEN",
        "authorized_official_middle_name": "PARRISH",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "319-233-3531"
    },
    "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 Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.