Organization Active NPI

Young Men's Christian Association of Boulder Valley

Doing business as YMCA of Boulder Valley

  • Health Educator
  • Boulder, CO
National Provider Identifier
1902353899
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF BOULDER VALLEY
Doing business as
YMCA of Boulder Valley
Practice address
2850 Mapleton Ave
Boulder, CO 80301-1122
Phone
(303) 442-2778
NPI assigned
Sep 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Mr. Jeff Clay
Title
Coo
Phone
(303) 443-4474

Specialties & licenses 1

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

Addresses

Primary practice location

2850 Mapleton Ave
Boulder, CO 80301-1122

Mailing address

2800 Dagny Way
Lafayette, CO 80026-8011
Phone (303) 443-4474

Other names 1

  • YMCA of Boulder Valley Doing business as

National Provider Directory

National Provider Directory

Locations

2850 Mapleton Ave
Boulder, CO 80301
Phone (303) 442-2778

2800 Dagny Way
Lafayette, CO 80026
Phone (303) 443-4474

Practitioners & affiliated clinicians

Practitioners 1

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": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1902353899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 DAGNY WAY",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268011",
            "telephone_number": "303-443-4474",
            "fax_number": "303-664-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MAPLETON AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011122",
            "telephone_number": "303-442-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF BOULDER VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "303-443-4474",
        "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": [
        {
            "organization_name": "YMCA of Boulder Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.