Organization Active NPI

The Young Mens Christian Association of Boise City Idaho

Doing business as Treasure Valley Family YMCA

  • Health Educator
  • Boise, ID
National Provider Identifier
1427504398
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
THE YOUNG MENS CHRISTIAN ASSOCIATION OF BOISE CITY IDAHO
Doing business as
Treasure Valley Family YMCA
Practice address
419 N 11TH St
Boise, ID 83702
Phone
(208) 344-5502
Fax
(866) 259-6758
NPI assigned
Aug 30, 2016
Last updated
Apr 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Mr. Tom O'Neil
Title
Chief Financial Officer
Phone
(208) 344-5502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

419 N 11TH St
Boise, ID 83702

Mailing address

1177 W State St
Boise, ID 83702-5346
Phone (208) 344-5501

Other names 1

  • Treasure Valley Family YMCA Doing business as

National Provider Directory

National Provider Directory

Locations

1177 W State St
Boise, ID 83702
Phone (208) 344-5501

12650 W Bridger St
Ste 100
Boise, ID 83713

419 N 11th St
Boise, ID 83702
Phone (208) 344-5502

5959 N Discovery Way
Boise, ID 83713
Phone (208) 367-6900

5155 S Hillsdale Ave
Meridian, ID 83642
Phone (208) 505-2950

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1427504398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 W STATE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025346",
            "telephone_number": "208-344-5501",
            "fax_number": "866-261-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 N 11TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "83702",
            "telephone_number": "208-344-5502",
            "fax_number": "866-259-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE YOUNG MENS CHRISTIAN ASSOCIATION OF BOISE CITY IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "O'NEIL",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "208-344-5502",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Treasure Valley Family YMCA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Treasure Valley Family YMCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.