John E Alexander South Wood County Young Men's Christian Association

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

JOHN E ALEXANDER SOUTH WOOD COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION

Practice address

211 Wisconsin River Dr
Port Edwards, WI 54469-1437

Phone

(715) 887-3240

Fax

(715) 887-3262

NPI assigned

Oct 19, 2016

Last updated

Mar 31, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christina Conrad

Title

Finance Director

Phone

(715) 818-6016

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1669923249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WISCONSIN RIVER DR",
            "city": "PORT EDWARDS",
            "state": "WI",
            "postal_code": "544691437",
            "telephone_number": "715-887-3240",
            "fax_number": "715-887-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WISCONSIN RIVER DR",
            "city": "PORT EDWARDS",
            "state": "WI",
            "postal_code": "544691437",
            "telephone_number": "715-887-3240",
            "fax_number": "715-887-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN E ALEXANDER SOUTH WOOD COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "715-818-6016"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ayres
• Michael Lynn Bernarde, PTA
• County of Wood (Edgewater Haven Nursing Home)
• John G Cronkrite, DDS
• Sharon K. Holy, P.T.
• Sidrah Amhed Khan
• Charlene M Marshall
• Kali Mayek
• Mind and Medical Wellness LLC
• Lisa Lynn O'Shasky, COTA

• Health Educator in Port Edwards, WI
• Providers in Port Edwards, 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.