The Peninsula Metropolitan Young Men's Christian Association

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

THE PENINSULA METROPOLITAN YOUNG MEN'S CHRISTIAN ASSOCIATION

Practice address

101 Long Green Blvd
Yorktown, VA 23693-4139

Phone

(757) 867-3300

Fax

(757) 867-3301

NPI assigned

Sep 7, 2016

Last updated

Sep 7, 2016By 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

Mr. Danny Carroll

Title

Executive Director

Phone

(757) 223-7925

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1770030785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 OLD OYSTER POINT RD STE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236027177",
            "telephone_number": "757-223-7925",
            "fax_number": "757-223-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LONG GREEN BLVD",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236934139",
            "telephone_number": "757-867-3300",
            "fax_number": "757-867-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PENINSULA METROPOLITAN YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-223-7925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Educator in Yorktown, VA
• Providers in Yorktown, VA by specialty
• Health Educator in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.