{
"Npi": {
"NPI": "1184653925",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CITY OF CLEBURNE",
"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": "114 W. WARDVILLE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CLEBURNE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76033-4918",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "817-645-0964",
"MailingAddressFaxNumber": "817-645-0967",
"FirstLinePracticeLocationAddress": "114 W. WARDVILLE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CLEBURNE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76033-4918",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "817-645-0964",
"PracticeLocationAddressFaxNumber": "817-645-0967",
"EnumerationDate": "07/02/2006",
"LastUpdateDate": "11/06/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ISHMAEL",
"AuthorizedOfficialFirstName": "JOHN",
"AuthorizedOfficialMiddleName": "CLINTON",
"AuthorizedOfficialTitle": "FIRE CHIEF",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "817-645-0965",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "300643",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}