{
"Npi": {
"NPI": "1124473103",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ML-OP OXFORD, LLC",
"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": "PO BOX 509",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COFFEYVILLE",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "67337-0509",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "620-709-0342",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "200 S OHIO",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OXFORD",
"PracticeLocationAddressStateName": "KS",
"PracticeLocationAddressPostalCode": "67119-8080",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "620-455-2214",
"PracticeLocationAddressFaxNumber": "620-455-2497",
"EnumerationDate": "04/27/2016",
"LastUpdateDate": "06/08/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HINES",
"AuthorizedOfficialFirstName": "SCOTT",
"AuthorizedOfficialMiddleName": "L",
"AuthorizedOfficialTitle": "VICE PRESIDENT, CHIEF FINANCIAL OFF",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CPA",
"AuthorizedOfficialTelephoneNumber": "620-257-6700",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "N096005",
"LicenseNumberStateCode": "KS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}