Young Men'S Christian Association of Southeastern North Carolina, Inc.

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

YOUNG MEN'S CHRISTIAN ASSOCIATION OF SOUTHEASTERN NORTH CAROLINA, INC.

Practice address

11 S Kerr Ave
Wilmington, NC 28403-1416

Phone

(910) 251-9622

Fax

(910) 251-2509

NPI assigned

Dec 27, 2016

Organization subpart

No

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

Authorized official

Name

Dick Jones

Title

President & Ceo

Phone

(910) 251-9622

Specialties & licenses 1

Addresses

Other names 1

• Wilmington Family YMCA Doing business as

Tax ID family

Wilmington Family YMCA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• YMCA of Southeastern NC

  • Health Educator
  • Wilmington, NC
  • NPI 1902413875
  NPD tax ID

Locations

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482796800000",
    "number": "1932644119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 MARKET ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031453",
            "telephone_number": "910-251-9622",
            "fax_number": "910-251-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 S KERR AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031416",
            "telephone_number": "910-251-9622",
            "fax_number": "910-251-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF SOUTHEASTERN NORTH CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DICK",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "910-251-9622"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilmington Family YMCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• YMCA of Southeastern NC
• Nina Leah Yokochi-Funkhouser, DO
• Kendall Walters Yokubaitis, MD
• James Reidar Yon, M.D.
• Kyler York, L.AC.
• Adison Joelle Young
• Amanda Young, LPA, LCAS
• Ashley Young
• Christopher Colin Young, DPM
• Debra Umhoefer Young, M.ED, LCMHC, CCHT

• Health Educator in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Health Educator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.