Organization Active NPI

The River Valley Regional Young Men'S Christian Association

  • Health Educator
  • Muncy, PA
National Provider Identifier
1952858128
Registry record updated Sep 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
THE RIVER VALLEY REGIONAL YOUNG MEN'S CHRISTIAN ASSOCIATION
Practice address
50 Fitness Dr
Muncy, PA 17756-8399
Phone
(570) 546-8822
NPI assigned
Sep 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2016

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

Authorized official

Name
Chad Eberha
Title
Chief Operating Officer
Phone
(570) 323-7134

Specialties & licenses 1

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

Addresses

Primary practice location

50 Fitness Dr
Muncy, PA 17756-8399

Mailing address

641 Walnut St
Williamsport, PA 17701-4829
Phone (570) 323-7134

National Provider Directory

National Provider Directory

Locations

641 Walnut St
Williamsport, PA 17701

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1952858128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 WALNUT ST",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177014829",
            "telephone_number": "570-323-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 FITNESS DR",
            "city": "MUNCY",
            "state": "PA",
            "postal_code": "177568399",
            "telephone_number": "570-546-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RIVER VALLEY REGIONAL YOUNG MEN'S CHRISTIAN ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "EBERHA",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "570-323-7134"
    },
    "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 Muncy, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.