SUPERIOR DOUGLAS COUNTY FAMILY YMCA (NPI# 1346742764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346742764 |
| Entity Type | Organization |
| Organization Name | SUPERIOR DOUGLAS COUNTY FAMILY YMCA |
| Practice Address |
9 N 21st St Superior WI 54880-5201 |
| Practice Telephone | 7153925611 |
| Mailing Telephone | 7153925611 |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2018-03-01 |
| Authorized Official Name | MR. CHRISTOPHER STENBERG (CEO) |
| Authorized Official Telephone | 7153925611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | Agencies |
| Street Address |
9 N 21ST ST |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801384359 | Tammy Newberry | Health Educator | 9 N 21st St, Superior, WI 54880-5201 | 2018-04-30 |
| 1003304239 | Rachel Christy | Health Educator | 9 N 21st St, Superior, WI 54880-5201 | 2018-04-24 |
| 1578051702 | Jennifer Rosnau | Health Educator | 9 N 21st St, Superior, WI 54880-5201 | 2018-04-24 |
| 1932697281 | Sarah Dillon | Health Educator | 9 N 21st St, Superior, WI 54880-5201 | 2018-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205471281 | Companion Day Service | Voluntary or Charitable | 905 Tiny Tigers Ct, Marshfield, WI 54449-3069 | 2019-11-13 |
| 1629636873 | Autism Society of Greater Wisconsin | Voluntary or Charitable | 1477 Kenwood Dr Ste 100, Menasha, WI 54952-1160 | 2019-06-03 |
| 1548826159 | Center for Childhood Safety | Voluntary or Charitable | 842 S Military Ave, Green Bay, WI 54304-2114 | 2019-05-20 |
| 1366005019 | Tim Halbrook Builders, Inc | Voluntary or Charitable | 3681 Monroe Rd, De Pere, WI 54115-8355 | 2019-04-18 |
| 1073072542 | Baraboo River Equine-assisted Therapies Inc. | Voluntary or Charitable | E12311 County Rd W, Baraboo, WI 53913-9668 | 2019-03-14 |
| 1225504335 | Autism Society of South Central Wisconsin | Voluntary or Charitable | 437 S Yellowstone Dr Ste 217a, Madison, WI 53719-1061 | 2018-10-16 |
| 1295253722 | Allied Horsemanship, Inc | Voluntary or Charitable | 35954 Cypress Ln, Prairie Du Chien, WI 53821-8831 | 2017-09-05 |
| 1508391079 | Lake Area Free Clinic | Voluntary or Charitable | 856 B Armour Road, Oconomowoc, WI 50366 | 2017-04-21 |
| 1093248569 | Association for The Rights of Citizens With Handicaps | Voluntary or Charitable | 419 Frederick St, Waukesha, WI 53186-5605 | 2017-04-11 |
| 1033659669 | Colonial Club, Inc. | Voluntary or Charitable | 301 Blankenheim Ln, Sun Prairie, WI 53590-2373 | 2017-03-01 |
| Find all providers with the same taxonomy | ||||
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| 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.