NPIMap

Organization Active NPI

Cleveland County Family Young Men'S Christian Association, Inc.

  • Health Educator
  • Shelby, NC
National Provider Identifier
1780131508
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
CLEVELAND COUNTY FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.
Practice address
411 Cherryville Rd
Shelby, NC 28150-3651
Phone
(704) 484-9622
Fax
(704) 669-3673
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Authorized official

Name
Cameron Corder
Title
Chief Executive Officer
Phone
(704) 669-3622

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

411 Cherryville Rd
Shelby, NC 28150-3651

Mailing address

PO Box 2272
Shelby, NC 28151-2272
Phone (704) 484-9622

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658707200000",
    "number": "1780131508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2272",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281512272",
            "telephone_number": "704-484-9622",
            "fax_number": "704-669-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CHERRYVILLE RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503651",
            "telephone_number": "704-484-9622",
            "fax_number": "704-669-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND COUNTY FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A",
        "authorized_official_last_name": "CORDER",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "704-669-3622"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.