Provider Demographics
NPI:1508309238
Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF SIDNEY AND SHELBY COUNTY
Entity Type:Organization
Organization Name:THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF SIDNEY AND SHELBY COUNTY
Other - Org Name:SIDNEY-SHELBY COUNTY YMCA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-492-9134
Mailing Address - Street 1:300 E PARKWOOD ST
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-1642
Mailing Address - Country:US
Mailing Address - Phone:937-492-9134
Mailing Address - Fax:937-492-4705
Practice Address - Street 1:300 E PARKWOOD ST
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-1642
Practice Address - Country:US
Practice Address - Phone:937-492-9134
Practice Address - Fax:937-492-4705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-29
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty