Organization Active NPI

Young Men's Christian Association of Greater Spartanburg

  • Health Educator
  • Spartanburg, SC
National Provider Identifier
1396280319
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER SPARTANBURG
Practice address
151 Ribault St
Spartanburg, SC 29302-2630
Phone
(864) 585-0306
Fax
(864) 596-4135
NPI assigned
Dec 29, 2016
Last updated
Dec 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Richard Callebs
Title
Ceo
Phone
(864) 585-0306

Specialties & licenses 1

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

Addresses

Primary practice location

151 Ribault St
Spartanburg, SC 29302-2630

Mailing address

151 Ribault St
Spartanburg, SC 29302-2630
Phone (864) 585-0306

National Provider Directory

National Provider Directory

Locations

151 Ribault St
Spartanburg, SC 29302
Phone (864) 472-2836

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1396280319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 RIBAULT ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022630",
            "telephone_number": "864-585-0306",
            "fax_number": "864-596-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 RIBAULT ST",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293022630",
            "telephone_number": "864-585-0306",
            "fax_number": "864-596-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER SPARTANBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "CALLEBS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-585-0306"
    },
    "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 Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.