Organization Active NPI

Young Men's Christian Association of Greater Fort Wayne, Inc.

  • Health Educator
  • Fort Wayne, IN
National Provider Identifier
1659827533
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER FORT WAYNE, INC.
Practice address
347 W Berry St
Suite 500
Fort Wayne, IN 46802-2299
Phone
(260) 422-6488
Fax
(260) 422-6489
NPI assigned
Aug 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Mr. Martin L Pastura
Title
Chief Executive Officer
Phone
(260) 918-2148

Specialties & licenses 1

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

Addresses

Primary practice location

347 W Berry St
Suite 500
Fort Wayne, IN 46802-2299

Mailing address

347 W Berry St
Suite 500
Fort Wayne, IN 46802-2299
Phone (260) 422-6488

National Provider Directory

National Provider Directory

Locations

347 W Berry St
Ste 500
Fort Wayne, IN 46802
Phone (260) 422-6488

NPI Registry JSON

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": "1659827533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 W BERRY ST",
            "address_2": "SUITE 500",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022299",
            "telephone_number": "260-422-6488",
            "fax_number": "260-422-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 W BERRY ST",
            "address_2": "SUITE 500",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468022299",
            "telephone_number": "260-422-6488",
            "fax_number": "260-422-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER FORT WAYNE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "PASTURA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "260-918-2148",
        "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": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • 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.