Organization Active NPI

Young Men's Christian Association of Marquette County

  • Health Educator
  • Marquette, MI
National Provider Identifier
1578816153
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF MARQUETTE COUNTY
Practice address
1420 Pine St
Marquette, MI 49855-2962
Phone
(906) 227-9622
Fax
(906) 227-9248
NPI assigned
Oct 20, 2012
Last updated
Mar 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Authorized official

Name
Ms. Jenna Zdunek
Title
Interim Ceo
Phone
(906) 227-9622

Specialties & licenses 1

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

Addresses

Primary practice location

1420 Pine St
Marquette, MI 49855-2962

Mailing address

1420 Pine St
Marquette, MI 49855-2962
Phone (906) 227-9622

National Provider Directory

National Provider Directory

Locations

1420 Pine St
Marquette, MI 49855
Phone (906) 227-9622

NPI Registry JSON

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

{
    "created_epoch": "1350691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1578816153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 PINE ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552962",
            "telephone_number": "906-227-9622",
            "fax_number": "906-227-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 PINE ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552962",
            "telephone_number": "906-227-9622",
            "fax_number": "906-227-9248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF MARQUETTE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-20",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "ZDUNEK",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "906-227-9622",
        "authorized_official_name_prefix": "Ms."
    },
    "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 Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; 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.