La Crosse Area Family Young Men's Christian Association, Inc.

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

LA CROSSE AREA FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.

Practice address

1140 Main Street
La Crosse, WI 54601

Phone

(608) 782-9622

Fax

(608) 782-9616

NPI assigned

Sep 22, 2016

Organization subpart

No

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

Authorized official

Name

Mr. William W. Soper Jr.

Title

Ceo

Phone

(608) 782-5944

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1770032419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 MAIN STREET",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54601",
            "telephone_number": "608-782-9622",
            "fax_number": "608-782-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 MAIN STREET",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54601",
            "telephone_number": "608-782-9622",
            "fax_number": "608-782-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA CROSSE AREA FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "SOPER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-782-5944",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benny Kusuma, MD
• Scott A Kuzma, MD
• Mei Li Kwong, M.D.
• Roger W Kwong, MD
• Benjamin L Kytta
• La Crosse Care Group, Inc. (Home Instead)
• La Crosse Center for Children and Families, LLC
• La Crosse Community Dental
• La Crosse County
• La Crosse County

• Health Educator in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Health Educator in Wisconsin

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