Young Men's Christian Association of the Blue Water Area

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE BLUE WATER AREA

Doing business as

Blue Water YMCA

Practice address

1525 3Rd St
Port Huron, MI 48060-5482

Phone

(810) 987-6400

Fax

(810) 987-7251

NPI assigned

Sep 8, 2016

Last updated

Sep 8, 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

Mrs. Denise Marie Brooks

Title

President/Ceo

Phone

(810) 987-6400

Specialties & licenses 1

Addresses

Other names 1

• Blue Water YMCA Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1407303266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 3RD ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605482",
            "telephone_number": "810-987-6400",
            "fax_number": "810-987-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 3RD ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605482",
            "telephone_number": "810-987-6400",
            "fax_number": "810-987-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF THE BLUE WATER AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "810-987-6400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Water YMCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Yassa
• Cindy S Yeager
• Yehia I Elsafy M D P L C
• Guna Yerrabolu, MD
• Carrie Ann Yochum
• Gwenda Louise Young, LPC
• Janene Desiree Young
• Johnson K Zacharias, MD
• Abida Zafar, MD
• Mary Lynn Zaremba, NP, RN

• Health Educator in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Health Educator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.