Scott County Family Young Men'S Christian Association

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

SCOTT COUNTY FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION

Practice address

606 W 2ND St
Davenport, IA 52801-1009

Phone

(563) 345-4246

Fax

(563) 345-6448

NPI assigned

Aug 30, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Brad Martell

Title

Chief Executive Officer

Phone

(563) 322-7171

Specialties & licenses 1

Addresses

Other names 1

• Scott County Family Y Doing business as

Locations

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1629524699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 W 2ND ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011009",
            "telephone_number": "563-345-4246",
            "fax_number": "563-345-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 W 2ND ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011009",
            "telephone_number": "563-345-4246",
            "fax_number": "563-345-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT COUNTY FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "563-322-7171",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott County Family Y",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Lynn Schultz, NURSE PRACTITIONER
• Christopher Schumann, D.C.
• Lori Shannon Schwarm, ARNP
• Scott Alpen DDS
• Scott County Case Management
• Scott County Health Department
• Scott County Health Department
• Scott County Health Department
• Scott County Health Department
• David Lester Scott, P.T.

• Health Educator in Davenport, IA
• Providers in Davenport, IA by specialty
• Health Educator in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.