Organization Active NPI

Young Mens Christian Association of Central Stark County, Inc.

  • Health Educator
  • Massillon, OH
National Provider Identifier
1932659703
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
YOUNG MENS CHRISTIAN ASSOCIATION OF CENTRAL STARK COUNTY, INC.
Practice address
7389 Caritas Cir NW
Massillon, OH 44646-9118
Phone
(330) 830-6275
Fax
(330) 837-9587
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Timothy Shetzer
Title
Ceo
Phone
(330) 491-9622

Specialties & licenses 1

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

Addresses

Primary practice location

7389 Caritas Cir NW
Massillon, OH 44646-9118

Mailing address

1201 30TH St NW
Canton, OH 44709-2959
Phone (330) 491-9622

National Provider Directory

National Provider Directory

Locations

1201 30th St NW
Canton, OH 44709
Phone (330) 354-9042

7389 Caritas Cir NW
Massillon, OH 44646
Phone (330) 830-6275

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1932659703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 30TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447092959",
            "telephone_number": "330-491-9622",
            "fax_number": "330-491-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7389 CARITAS CIR NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469118",
            "telephone_number": "330-830-6275",
            "fax_number": "330-837-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MENS CHRISTIAN ASSOCIATION OF CENTRAL STARK COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "SHETZER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-491-9622"
    },
    "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 Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.