Provider Demographics
NPI: | 1841741170 |
---|---|
Name: | YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER OMAHA |
Entity Type: | Organization |
Organization Name: | YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER OMAHA |
Other - Org Name: | YMCA OF GREATER OMAHA |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHRISTOPHER |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | TOINTON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 402-977-4302 |
Mailing Address - Street 1: | 430 S 20TH ST |
Mailing Address - Street 2: | |
Mailing Address - City: | OMAHA |
Mailing Address - State: | NE |
Mailing Address - Zip Code: | 68102-2506 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 402-341-1600 |
Mailing Address - Fax: | 402-977-4299 |
Practice Address - Street 1: | 430 S 20TH ST |
Practice Address - Street 2: | |
Practice Address - City: | OMAHA |
Practice Address - State: | NE |
Practice Address - Zip Code: | 68102-2506 |
Practice Address - Country: | US |
Practice Address - Phone: | 402-341-1600 |
Practice Address - Fax: | 402-977-4299 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-10-21 |
Last Update Date: | 2016-10-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 174H00000X | Other Service Providers | Health Educator | Group - Multi-Specialty |