# JOHN E ALEXANDER SOUTH WOOD COUNTY YOUNG MEN'S CHRISTIAN ASSOCIATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669923249
- **Authorized official:** CHRISTINA CONRAD (FINANCE DIRECTOR)
- **Authorized official phone:** (715) 818-6016

## Contact information

- **Practice address:** 211 WISCONSIN RIVER DR, PORT EDWARDS, WI 54469-1437
- **Practice address phone:** (715) 887-3240
- **Practice address fax:** (715) 887-3262
- **Mailing address:** 211 WISCONSIN RIVER DR, PORT EDWARDS, WI 54469-1437
- **Mailing address phone:** (715) 887-3240
- **Mailing address fax:** (715) 887-3262

## Taxonomy

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

## Other

- **Enumeration date:** 10/19/2016
- **Last updated:** 03/31/2017