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1083850234 NPI number — YOUNG MEN'S CHRISTIAN ASSOCIATION OF HONOLULU

NPI Number: 1083850234
Health Care Provider/Practitioner: YOUNG MEN'S CHRISTIAN ASSOCIATION OF HONOLULU

Information about “1083850234” NPI (YOUNG MEN'S CHRISTIAN ASSOCIATION OF HONOLULU) exists in 1083850234 in HTML format HTML  |  1083850234 in plain Text format TXT  |  1083850234 in PDF (Portable Document Format) PDF  |  1083850234 in an XML format XML  formats.

NPI Number : 1083850234 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083850234",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF HONOLULU",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1441 PALI HWY",
    "SecondLineMailingAddress": "METROPOLITAN OFFICE",
    "MailingAddressCityName": "HONOLULU",
    "MailingAddressStateName": "HI",
    "MailingAddressPostalCode": "96813",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-531-3558",
    "MailingAddressFaxNumber": "808-533-1286",
    "FirstLinePracticeLocationAddress": "1441 PALI HWY",
    "SecondLinePracticeLocationAddress": "METROPOLITAN OFFICE",
    "PracticeLocationAddressCityName": "HONOLULU",
    "PracticeLocationAddressStateName": "HI",
    "PracticeLocationAddressPostalCode": "96813",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-531-3558",
    "PracticeLocationAddressFaxNumber": "808-533-1286",
    "EnumerationDate": "12/17/2008",
    "LastUpdateDate": "06/12/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BRODERICK",
    "AuthorizedOfficialFirstName": "MICHAEL",
    "AuthorizedOfficialMiddleName": "F",
    "AuthorizedOfficialTitle": "CHIEF EXECUTIVE OFFICER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "848-531-3558",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "174H00000X",
          "TaxonomyName": "Health Educator",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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