{
"Npi": {
"NPI": "1174882849",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MOORESVILLE RESCUE SQUAD",
"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 1109",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MOORESVILLE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28115-1109",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "704-663-3660",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "204 E. IREDELL AVE.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MOORESVILLE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28115-0000",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "704-663-3660",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/15/2012",
"LastUpdateDate": "07/25/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOFFITT",
"AuthorizedOfficialFirstName": "PARISH",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CAPTAIN",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "704-663-3660",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "1477",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}