Oshkosh Community Young Men'S Christian Association, Inc.

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

OSHKOSH COMMUNITY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

Practice address

3303 W 20TH Ave
Oshkosh, WI 54904-9249

Phone

(920) 230-8439

Fax

(920) 230-8444

NPI assigned

Sep 7, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Dan Braun

Title

Hippa Compliance Officer

Phone

(920) 230-8915

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1639626674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 W 20TH AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549049249",
            "telephone_number": "920-230-8439",
            "fax_number": "920-230-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 W 20TH AVE",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549049249",
            "telephone_number": "920-230-8439",
            "fax_number": "920-230-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSHKOSH COMMUNITY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "BRAUN",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "HIPPA COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "920-230-8915",
        "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": []
}

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• Health Educator in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Health Educator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.