Organization Active NPI

Dorchester County Family Young Men'S Christian Association, Inc.

  • Health Educator
  • Cambridge, MD
National Provider Identifier
1639628290
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
DORCHESTER COUNTY FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.
Practice address
201 Talbot Ave
Cambridge, MD 21613-1500
Phone
(410) 221-0505
Fax
(410) 221-0514
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Ms. Joann C Hansen
Title
Ceo
Phone
(410) 221-0505

Specialties & licenses 1

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

Addresses

Primary practice location

201 Talbot Ave
Cambridge, MD 21613-1500

Mailing address

201 Talbot Ave
Cambridge, MD 21613-1500
Phone (410) 221-0505

Other names 1

  • Dorchester Family YMCA Doing business as

National Provider Directory

National Provider Directory

Locations

201 Talbot Ave
Cambridge, MD 21613
Phone (410) 221-0505

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1639628290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TALBOT AVE",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131500",
            "telephone_number": "410-221-0505",
            "fax_number": "410-221-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TALBOT AVE",
            "city": "CAMBRIDGE",
            "state": "MD",
            "postal_code": "216131500",
            "telephone_number": "410-221-0505",
            "fax_number": "410-221-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORCHESTER COUNTY FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-221-0505",
        "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": [
        {
            "organization_name": "Dorchester Family YMCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.