Kandiyohi County Area Family Young Men'S Christian Association

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

KANDIYOHI COUNTY AREA FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION

Practice address

1000 Lakeland Dr SE
Willmar, MN 56201-4708

Phone

(320) 222-9622

Fax

(320) 222-7197

NPI assigned

Dec 29, 2016

Organization subpart

No

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

Authorized official

Name

Theresa Hillis

Title

Ceo

Phone

(320) 222-9622

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1770028771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LAKELAND DR SE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014708",
            "telephone_number": "320-222-9622",
            "fax_number": "320-222-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAKELAND DR SE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562014708",
            "telephone_number": "320-222-9622",
            "fax_number": "320-222-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANDIYOHI COUNTY AREA FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "HILLIS",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-222-9622"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailee Kaliher
• Jayde Kalkbrenner
• Hailey Kallevig
• Kandi Dental Center, PA
• Kandiyohi County
• Kandiyohi County Group Homes
• Rutvij Kantharia
• Kristine Dawn Kautzman
• Jarred Kells, LADC, BS
• Jeffrey Robert Kennedy, PT

• Health Educator in Willmar, MN
• Providers in Willmar, MN by specialty
• Health Educator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.