{
"Npi": {
"NPI": "1134815814",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FLUVANNA FIRE DISTRICT",
"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": "8610 MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WILLIAMSVILLE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14221-7455",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "716-204-3350",
"MailingAddressFaxNumber": "716-247-5274",
"FirstLinePracticeLocationAddress": "3536 FLUVANNA AVENUE EXT",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FLUVANNA",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "14701-9728",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "716-483-8505",
"PracticeLocationAddressFaxNumber": "716-483-0438",
"EnumerationDate": "04/14/2023",
"LastUpdateDate": "04/14/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SEYMOUR",
"AuthorizedOfficialFirstName": "DANIEL",
"AuthorizedOfficialMiddleName": "J.",
"AuthorizedOfficialTitle": "COMMISSIONER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "716-483-8505",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}