Organization Active NPI

Boothbay Region Young Men's Christian Association

  • Health Educator
  • Boothbay Harbor, ME
National Provider Identifier
1629526819
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
BOOTHBAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION
Practice address
261 Townsend Ave
Boothbay Harbor, ME 04538-1847
Phone
(207) 633-2855
Fax
(207) 633-6865
NPI assigned
Sep 15, 2016
Last updated
Sep 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Peter Andrew Hamblett
Title
Executive Director
Phone
(207) 633-2855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X Primary

Addresses

Primary practice location

261 Townsend Ave
Boothbay Harbor, ME 04538-1847

Mailing address

PO Box 500
Boothbay Harbor, ME 04538-0500
Phone (207) 633-2855

National Provider Directory

National Provider Directory

Locations

261 Townsend Ave
Boothbay Harbor, ME 04538
Phone (207) 633-2855

NPI Registry JSON

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1629526819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 500",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045380500",
            "telephone_number": "207-633-2855",
            "fax_number": "207-633-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 TOWNSEND AVE",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381847",
            "telephone_number": "207-633-2855",
            "fax_number": "207-633-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOOTHBAY REGION YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "HAMBLETT",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-633-2855"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boothbay Harbor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.