John E Alexander South Wood County Young Men'S Christian Association
Health Educator in Port Edwards, WI. Organization (NPI-2).
NPI number1669923249
StatusActive
Last updated in NPPESMar 31, 2017
Details
- NPI
- 1669923249
- Entity type
- Organization (NPI-2)
- Legal business name
- John E Alexander South Wood County Young Men'S Christian Association
- Organization subpart
- No
- Enumeration date
- Oct 19, 2016
- Last updated
- Mar 31, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174H00000X | Health Educator | – | – | Yes |
Practice location
211 Wisconsin River DrPort Edwards, WI 54469-1437
Phone 715-887-3240 · Fax 715-887-3262
Mailing address
211 Wisconsin River DrPort Edwards, WI 54469-1437
Phone 715-887-3240 · Fax 715-887-3262
Authorized official
Christina Conrad
Finance Director
7158186016
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