Healthcare Provider Details

I. General information

NPI: 1326593302
Provider Name (Legal Business Name): YOUNG MEN'S CHRISTIAN ASSOCIATION OF CENTRAL OHIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2016
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 LEONARD AVE STE 150
COLUMBUS OH
43219-4505
US

IV. Provider business mailing address

1907 LEONARD AVE
COLUMBUS OH
43219-4503
US

V. Phone/Fax

Practice location:
  • Phone: 614-389-4409
  • Fax:
Mailing address:
  • Phone: 614-359-4001
  • Fax: 614-384-2305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: TONY COLLINS
Title or Position: PRESIDENT/CEO
Credential:
Phone: 614-389-2808