Door County Young Men's Christian Association Inc

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

DOOR COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION INC

Practice address

1900 Michigan Street
Sturgeon Bay, WI 54235

Phone

(920) 743-4949

Fax

(920) 743-8812

NPI assigned

Sep 25, 2017

Last updated

Sep 25, 2017By 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. Thomas Richard Beerntsen

Title

Ceo

Phone

(920) 743-4949

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1811406648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MICHIGAN STREET",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "54235",
            "telephone_number": "920-743-4949",
            "fax_number": "920-743-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MICHIGAN STREET",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "54235",
            "telephone_number": "920-743-4949",
            "fax_number": "920-743-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOOR COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "BEERNTSEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "920-743-4949",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Door County Memorial Hospital (Door County Medical Center Pharmacy)
• Door County Memorial Hospital (Door County Medical Center Sturgeon Bay)
• Door County Memorial Hospital (Door County Medical Center Lab)
• Door County Memorial Hospital Ministry Health Care
• Door County Speech Therapy
• Michael Draize, RPH
• Taylor Marie Drohman
• Ashley N Earwood, COTA
• Sara Downing Edwards, M.A., ABD, L.P.C.
• Joel A. Eggert, D.D.S.

• Health Educator in Sturgeon Bay, WI
• Providers in Sturgeon Bay, 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 25, 2017; 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.