# SCOTT COUNTY FAMILY YOUNG MEN'S CHRISTIAN ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Scott County Family Y
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629524699
- **Authorized official:** MR. BRAD MARTELL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (563) 322-7171

## Contact information

- **Practice address:** 606 W 2ND ST, DAVENPORT, IA 52801-1009
- **Practice address phone:** (563) 345-4246
- **Practice address fax:** (563) 345-6448
- **Mailing address:** 606 W 2ND ST, DAVENPORT, IA 52801-1009
- **Mailing address phone:** (563) 345-4246
- **Mailing address fax:** (563) 345-6448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2016
- **Last updated:** 08/30/2016