Provider Demographics
NPI:1033763131
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER ERIE
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER ERIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:MCELDOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-452-1432
Mailing Address - Street 1:31 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-1401
Mailing Address - Country:US
Mailing Address - Phone:814-452-1432
Mailing Address - Fax:
Practice Address - Street 1:3727 CHERRY ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-2609
Practice Address - Country:US
Practice Address - Phone:814-868-0867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty