Marion Youth Development Council Boys and Girls Club Marion Co

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MARION YOUTH DEVELOPMENT COUNCIL BOYS AND GIRLS CLUB MARION CO

Doing business as

Boys and Girls Club Marion Co

Practice address

370 E Mark St
Marion, OH 43302-2547

Phone

(740) 387-3462

Fax

(740) 387-5518

NPI assigned

Jan 26, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Carol Dimoff

Title

Executive Director

Phone

(740) 387-3462

Specialties & licenses 1

Addresses

Other names 1

• Boys and Girls Club Marion Co Doing business as

Locations

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1952549255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 E MARK ST",
            "address_2": "PO BOX 207",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433022547",
            "telephone_number": "740-387-3462",
            "fax_number": "740-387-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E MARK ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433022547",
            "telephone_number": "740-387-3462",
            "fax_number": "740-387-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION YOUTH DEVELOPMENT COUNCIL BOYS AND GIRLS CLUB MARION CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "DIMOFF",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-387-3462",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boys and Girls Club Marion Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marion Township (Marion Township Fire Department)
• Marion Valley SNF Healthcare LLC (Marion Valley Post Acute)
• Marion Waldo Chiropractic LLC (The Ohio Neck and Back Pain Relief Center)
• Marion Waldo Chiropractic LLC
• Marion Women's Health Center Inc
• Christina Markley, PRS
• Cory Scott Marks
• Elizabeth Ann Marron, CRNA
• Ricia Marrs, CDCA
• Nicholas A. Marsh

• Local Education Agency (LEA) in Marion, OH
• Providers in Marion, OH by specialty
• Local Education Agency (LEA) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.