Organization Active NPI

The Athol Young Men'S Christian Association

  • Health Educator
  • Athol, MA
National Provider Identifier
1649726456
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
THE ATHOL YOUNG MEN'S CHRISTIAN ASSOCIATION
Practice address
545 Main St
Athol, MA 01331-1848
Phone
(978) 249-3305
Fax
(978) 249-4009
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Jeanette Robichaud
Title
Executive Director
Phone
(978) 249-3305

Specialties & licenses 1

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

Addresses

Primary practice location

545 Main St
Athol, MA 01331-1848

Mailing address

545 Main St
Athol, MA 01331-1848
Phone (978) 249-3305

National Provider Directory

National Provider Directory

Locations

545 Main St
Athol, MA 01331
Phone (978) 249-3305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1649726456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013311848",
            "telephone_number": "978-249-3305",
            "fax_number": "978-249-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013311848",
            "telephone_number": "978-249-3305",
            "fax_number": "978-249-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ATHOL YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "ROBICHAUD",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "978-249-3305"
    },
    "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 Athol, MA

Sources for this page

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