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NPI Code Detail

MEDICARE: YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER EL PASO TX AND RIO GRANDE

MEDICARE: YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER EL PASO TX AND RIO GRANDE
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
1174H00000XHealth Educator

General Provider Information

NPI Number : 1891244257
Entity Type Code : Organization
Provider Name (Legal Business Name) : YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER EL PASO TX AND RIO GRANDE
Provider Business Mailing Address
First Line : 810 WYOMING AVE
Second Line :
City : EL PASO
State : TX
Zip : 79902-5339
Country : US
Telephone Number : 915-532-9622
Fax Number : 915-544-8729
Provider Business Practice Location Address
First Line : 5509 WILL RUTH AVE
Second Line :
City : EL PASO
State : TX
Zip : 79924-5433
Country : US
Telephone Number : 915-755-9622
Fax Number : 915-751-0533
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MR. WILLIAM LOYD COON
Credential :
Telephone Number : 915-532-9622
Provider Enumeration Date : 09/27/2016
Last Update Date : 09/27/2016

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Directions to “YOUNG MEN'S CHRISTIAN ASSOCIATION OF GREATER EL PASO TX AND RIO GRANDE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.