Provider Demographics
NPI:1962526046
Name:THE YOUNG MENS CHRISTIAN ASSOCIATION OF GREATER SEATTLE
Entity type:Organization
Organization Name:THE YOUNG MENS CHRISTIAN ASSOCIATION OF GREATER SEATTLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP/CHIEF MEMBERSHIP HEALTH OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-382-7893
Mailing Address - Street 1:909 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1194
Mailing Address - Country:US
Mailing Address - Phone:206-382-7893
Mailing Address - Fax:
Practice Address - Street 1:909 4TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1194
Practice Address - Country:US
Practice Address - Phone:206-382-7893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2018-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1026117Medicaid