Provider Demographics
NPI:1124575980
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF KALAMAZOO
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF KALAMAZOO
Other - Org Name:YMCA OF GREATER KALAMAZOO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRINGSDORF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-345-9622
Mailing Address - Street 1:1001 W MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49008-1843
Mailing Address - Country:US
Mailing Address - Phone:369-345-9622
Mailing Address - Fax:269-342-4088
Practice Address - Street 1:2900 W CENTRE AVE
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49024-4834
Practice Address - Country:US
Practice Address - Phone:269-324-9622
Practice Address - Fax:269-329-1749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty