Summerville Family Young Men's Christian Association

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

SUMMERVILLE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION

Practice address

140 S Cedar St
Summerville, SC 29483-6014

Phone

(843) 871-9622

Fax

(843) 821-3127

NPI assigned

Dec 28, 2016

Last updated

Dec 28, 2016By 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

Gary Lukridge

Title

Ceo

Phone

(843) 871-9622

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aurora Athearn

  • Health Educator
  • Summerville, SC
  • NPI 1528839792
  NPD (past)
• Stacy Varvel

  • Community Health Worker
  • Summerville, SC
  • NPI 1710759006
  NPD (past)

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1912442047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S CEDAR ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836014",
            "telephone_number": "843-871-9622",
            "fax_number": "843-821-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 S CEDAR ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836014",
            "telephone_number": "843-871-9622",
            "fax_number": "843-821-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "LUKRIDGE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-871-9622"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Dental, LLC (Sweetgrass Dental of Summerville)
• Alice F Summers, RN
• Summerville Early Intervention
• Summerville Endoscopy Center, LLC
• Summerville Endoscopy Surgicenter, LLC (Summerville Endoscopy Center)
• Summerville Footcare Center, PA
• Summerville Internal Medicine
• Summerville Pediatric Dentistry
• Summerville Pediatric Eyecare
• Summerville Pediatric Eyecare PC

• Health Educator in Summerville, SC
• Providers in Summerville, SC by specialty
• Health Educator in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.