NPIMap

Organization Active NPI

United Methodist Youthville Inc

  • Community/Behavioral Health Agency
  • Dodge City, KS
National Provider Identifier
1720208887
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
566 Issued in KS
Legal business name
UNITED METHODIST YOUTHVILLE INC
Practice address
11200 Lariat Way
Dodge City, KS 67801-7328
Phone
(620) 225-0276
Fax
(620) 225-0279
NPI assigned
Apr 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dany Ray Monares, LBSW
Title
Provider Relations Manager
Phone
(316) 283-1950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 566 KS Primary

Addresses

Primary practice location

11200 Lariat Way
Dodge City, KS 67801-7328

Mailing address

900 W Broadway St
Newton, KS 67114-2037
Phone (316) 283-1950

Other names 1

  • Youthville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
United Methoidst Youthville11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720208887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W BROADWAY ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671142037",
            "telephone_number": "316-283-1950",
            "fax_number": "316-283-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 LARIAT WAY",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678017328",
            "telephone_number": "620-225-0276",
            "fax_number": "620-225-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED METHODIST YOUTHVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONARES",
        "authorized_official_first_name": "DANY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PROVIDER RELATIONS MANAGER",
        "authorized_official_telephone_number": "316-283-1950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Youthville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.