The Young Men's Christian Association of Northern Utah

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF NORTHERN UTAH

Doing business as

YMCA of Northern Utah

Practice address

3216 S Highland Dr
Suite 200
Salt Lake City, UT 84106-4178

Phone

(801) 466-6074

Fax

(801) 466-6074

NPI assigned

Sep 15, 2016

Organization subpart

No

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

Authorized official

Name

Rich West

Title

Chief Executive Officer

Phone

(801) 839-3384

Specialties & licenses 1

Addresses

Other names 1

• YMCA of Northern Utah Doing business as

Locations

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1932657210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 S HIGHLAND DR",
            "address_2": "SUITE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064178",
            "telephone_number": "801-466-6074",
            "fax_number": "801-466-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3216 S HIGHLAND DR",
            "address_2": "SUITE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841064178",
            "telephone_number": "801-466-6074",
            "fax_number": "801-466-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF NORTHERN UTAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-15",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "801-839-3384"
    },
    "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 Northern Utah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Educator in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Health Educator in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.