MEDICARE: THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER CINCINNATI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator

General Provider Information

NPI Number	:	1316492390
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER CINCINNATI

Provider Business Mailing Address
First Line	:	1105 ELM STREET
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45202
Country	:	US
Telephone Number	:	513-362-9622
Fax Number	:	513-651-3540

Provider Business Practice Location Address
First Line	:	2840 MELROSE AVENUE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206
Country	:	US
Telephone Number	:	513-961-3510
Fax Number	:	513-792-5300

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MRS. SANDRA WALKER
Credential	:
Telephone Number	:	513-362-9622

Provider Enumeration Date	:	08/19/2016
Last Update Date	:	11/23/2016

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