Provider Demographics
NPI:1518414333
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF SOUTHWEST KANSAS, INC
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION OF SOUTHWEST KANSAS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHADWICK
Authorized Official - Middle Name:
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-275-1199
Mailing Address - Street 1:1224 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-4643
Mailing Address - Country:US
Mailing Address - Phone:620-275-1199
Mailing Address - Fax:620-275-1053
Practice Address - Street 1:1224 CENTER ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-4643
Practice Address - Country:US
Practice Address - Phone:620-275-1199
Practice Address - Fax:620-275-1053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-09
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty