Organization Active NPI

Green County Family Young Men'S Christian Association

  • Health Educator
  • Monroe, WI
National Provider Identifier
1821547951
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
GREEN COUNTY FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION
Practice address
1307 2ND St
Monroe, WI 53566-1169
Phone
(608) 325-2003
Fax
(608) 325-2058
NPI assigned
Sep 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Mr. Aaron K Phillips
Title
Chief Executive Officer
Phone
(608) 325-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

1307 2ND St
Monroe, WI 53566-1169

Mailing address

1307 2ND St
Monroe, WI 53566-1169
Phone (608) 325-2003

National Provider Directory

National Provider Directory

Locations

1307 2nd St
Monroe, WI 53566
Phone (608) 325-2003

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1821547951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 2ND ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661169",
            "telephone_number": "608-325-2003",
            "fax_number": "608-325-2058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 2ND ST",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661169",
            "telephone_number": "608-325-2003",
            "fax_number": "608-325-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN COUNTY FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "608-325-2003",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.