Provider Demographics
NPI:1215711684
Name:CAMBRIDGE YOUNG MEN'S CHRISTIAN ASSOCIATION
Entity type:Organization
Organization Name:CAMBRIDGE YOUNG MEN'S CHRISTIAN ASSOCIATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBERSHIP DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MATTHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-432-4600
Mailing Address - Street 1:1301 CLAIRMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:OH
Mailing Address - Zip Code:43725-1613
Mailing Address - Country:US
Mailing Address - Phone:740-432-4600
Mailing Address - Fax:740-439-2598
Practice Address - Street 1:1301 CLAIRMONT AVE
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-1613
Practice Address - Country:US
Practice Address - Phone:740-432-4600
Practice Address - Fax:740-439-2598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health