1184662504 NPI number — SEA LEVEL FIRE DEPT RESCUE SQUAD & COMMUNITY CENTER INC.

NPI Number: 1184662504
Health Care Provider/Practitioner: SEA LEVEL FIRE DEPT RESCUE SQUAD & COMMUNITY CENTER INC.

NPI Number : 1184662504 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184662504",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SEA LEVEL FIRE DEPT RESCUE SQUAD & COMMUNITY CENTER INC.",
    "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": "P.O. BOX 1308",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WALTERBORO",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29488-4509",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "843-549-3444",
    "MailingAddressFaxNumber": "843-547-3474",
    "FirstLinePracticeLocationAddress": "647 HWY 70 EAST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEALEVEL",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "28577-0069",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "252-225-7721",
    "PracticeLocationAddressFaxNumber": "252-225-1101",
    "EnumerationDate": "06/04/2006",
    "LastUpdateDate": "02/04/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "LAXTON",
    "AuthorizedOfficialFirstName": "PHILLIP",
    "AuthorizedOfficialMiddleName": "WALKER",
    "AuthorizedOfficialTitle": "EMS DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "252-225-7721",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "3416L0300X",
          "TaxonomyName": "Land Ambulance",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3416L0300X",
          "TaxonomyName": "Land Ambulance",
          "LicenseNumber": "1357",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}