{
"Npi": {
"NPI": "1134577794",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CITY OF ALTON ILL",
"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": "PO BOX 457",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WHEELING",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60090-0457",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-244-2345",
"MailingAddressFaxNumber": "336-791-0196",
"FirstLinePracticeLocationAddress": "333 E 20TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ALTON",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "62002-6816",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "618-463-3565",
"PracticeLocationAddressFaxNumber": "336-791-0196",
"EnumerationDate": "05/24/2016",
"LastUpdateDate": "08/27/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DUNLAP",
"AuthorizedOfficialFirstName": "DEBRA",
"AuthorizedOfficialMiddleName": "KAY",
"AuthorizedOfficialTitle": "COMPTROLLER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "618-463-3550",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": "044120",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}