{
"Npi": {
"NPI": "1003162553",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AMERICAN AMBULANCE COMPANY",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "15941 HARLEM AVE",
"SecondLineMailingAddress": "NUM 126",
"MailingAddressCityName": "TINLEY PARK",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60477-1609",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "708-429-2082",
"MailingAddressFaxNumber": "708-357-3942",
"FirstLinePracticeLocationAddress": "15941 HARLEM AVE",
"SecondLinePracticeLocationAddress": "NUM 126",
"PracticeLocationAddressCityName": "TINLEY PARK",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60477-1609",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "708-429-2082",
"PracticeLocationAddressFaxNumber": "708-357-3942",
"EnumerationDate": "08/01/2012",
"LastUpdateDate": "08/01/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROGERS",
"AuthorizedOfficialFirstName": "MICHAEL",
"AuthorizedOfficialMiddleName": "JOSEPH",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "EMT-P",
"AuthorizedOfficialTelephoneNumber": "708-846-1433",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": "8586",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}