Provider Demographics
NPI:1639611502
Name:YOUNG MEN'S CHRISTIAN ASSOCIATION SOUTHCOAST INC
Entity Type:Organization
Organization Name:YOUNG MEN'S CHRISTIAN ASSOCIATION SOUTHCOAST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:F
Authorized Official - Last Name:SCHERER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-966-9622
Mailing Address - Street 1:128 UNION STREET SUITE 304
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740
Mailing Address - Country:US
Mailing Address - Phone:508-996-9622
Mailing Address - Fax:508-996-1738
Practice Address - Street 1:25 SOUTH WATER STREET
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740
Practice Address - Country:US
Practice Address - Phone:508-996-9622
Practice Address - Fax:508-984-4631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-09
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty