{
"Npi": {
"NPI": "1083656367",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "CURRY HEALTH DISTRICT",
"ParentOrgTIN": null,
"OrgName": "CURRY HEALTH DISTRICT",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "94220 4TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GOLD BEACH",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97444-7756",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "541-247-3000",
"MailingAddressFaxNumber": "541-247-3154",
"FirstLinePracticeLocationAddress": "500 5TH STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BROOKINGS",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97415-9702",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "541-412-2000",
"PracticeLocationAddressFaxNumber": "541-412-2081",
"EnumerationDate": "06/12/2006",
"LastUpdateDate": "10/14/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WILLIAMS",
"AuthorizedOfficialFirstName": "VIRGINIA",
"AuthorizedOfficialMiddleName": "A.",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "541-247-3108",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QE0002X",
"TaxonomyName": "Emergency Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QM1300X",
"TaxonomyName": "Multi-Specialty Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "261QC0050X",
"TaxonomyName": "Critical Access Hospital Clinic/Center",
"LicenseNumber": "14-0251",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}