JOHN E ALEXANDER SOUTH WOOD COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION (NPI# 1669923249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669923249 |
| Entity Type | Organization |
| Organization Name | JOHN E ALEXANDER SOUTH WOOD COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION |
| Practice Address |
211 Wisconsin River Dr Port Edwards WI 54469-1437 |
| Practice Telephone | 7158873240 |
| Practice Fax Number | 7158873262 |
| Mailing Telephone | 7158873240 |
| Mailing Fax Number | 7158873262 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2017-03-31 |
| Authorized Official Name | CHRISTINA CONRAD (FINANCE DIRECTOR) |
| Authorized Official Telephone | 7158186016 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
211 WISCONSIN RIVER DR |
| City | PORT EDWARDS |
| State | WI |
| Zip Code | 54469-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013915339 | County of Wood | Skilled Nursing Facility | 1351 Wisconsin River Dr, Port Edwards, WI 54469-1041 | 2005-07-11 |
| 1790103554 | Amanda Sue Veriha | Physical Therapy Assistant | 1351 Wisconsin River Dr, Port Edwards, WI 54469-1041 | 2014-03-30 |
| 1609033372 | Lisa Lynn O'shasky | Occupational Therapy Assistant | 1351 Wisconsin River Dr, Port Edwards, WI 54469-1041 | 2008-05-20 |
| 1699955286 | Michael Lynn Bernarde | Physical Therapy Assistant | 1351 Wisconsin River Dr, Port Edwards, WI 54469-1041 | 2007-11-12 |
| 1649450222 | Sharon K. Holy | Physical Therapist | 1351 Wisconsin River Dr, Port Edwards, WI 54469-1041 | 2007-11-12 |
| 1548440142 | Dianna Witt | Occupational Therapy Assistant | 1351 Wisconsin River Dr, Port Edwards, WI 54469-1041 | 2007-11-12 |
| 1376141473 | Sidrah Amhed Khan | Speech-Language Pathologist | 1351 Wisconsin River Dr, Port Edwards, WI 54469-1099 | 2020-10-12 |
| 1790853786 | Lisa M Machotka | Physical Therapist | 661 Westport Ct, Port Edwards, WI 54469-1176 | 2006-11-30 |
| 1982864468 | Karen Schaub Stewart | Registered Nurse | 741 5th St, Port Edwards, WI 54469-1213 | 2008-06-10 |
| 1104010610 | Port Edwards School District | Local Education Agency (LEA) | 801 2nd St, Port Edwards, WI 54469-1301 | 2007-08-29 |
| Find all providers in zip 54469 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609692 | Tanya Rosenthal | Health Educator | W4991 Wege Rd, Appleton, WI 54913-8354 | 2020-11-08 |
| 1205461068 | Judith Gail Hahn | Health Educator | 2336 W Green Tree Road, Glendale, WI 53209-2704 | 2020-03-11 |
| 1467003665 | Erika Chavez | Health Educator | 1313 E Randolph Ct Apt D, Milwaukee, WI 53212-1857 | 2019-09-28 |
| 1285280156 | Tonia M Davis | Health Educator | 8139 W Custer Ave, Milwaukee, WI 53218-3533 | 2019-08-15 |
| 1154983500 | Amy Lynn Lewis | Health Educator | 5299 Easy St, Waunakee, WI 53597-9767 | 2019-07-06 |
| 1023670049 | Michelle Uetz | Health Educator | 370 County Road U, River Falls, WI 54022-8268 | 2019-06-29 |
| 1568921278 | Sword Health Inc | Health Educator | 1020 North Broadway, Milwaukee, WI 53202 | 2019-03-13 |
| 1518449040 | Gina Trampe | Health Educator | 705 Village Green Way Unit 201, West Bend, WI 53090-2528 | 2018-08-31 |
| 1871086645 | Megan Kilsdonk | Health Educator | 1604 N Meade St, Appleton, WI 54911 | 2018-06-07 |
| 1679065593 | Young Men's Christian Association of Metropolitan Milwaukee, Inc. | Health Educator | 161 West Wisconsin Avenue, Suite 4000, Milwaukee, WI 53203-2601 | 2018-06-06 |
| Find all providers with the same taxonomy | ||||
| City | PORT EDWARDS |
| Zip Code | 54469 |
Please comment or provide details below to improve the information on JOHN E ALEXANDER SOUTH WOOD COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.