{
"Npi": {
"NPI": "1194775700",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "SALEM COMMUNITY HOSPITAL",
"ParentOrgTIN": null,
"OrgName": "SALEM COMMUNITY HOSPITAL",
"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": "1995 E STATE ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SALEM",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "44460",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "330-337-9922",
"MailingAddressFaxNumber": "330-332-2623",
"FirstLinePracticeLocationAddress": "2235 E PERSHING ST",
"SecondLinePracticeLocationAddress": "SUITE G",
"PracticeLocationAddressCityName": "SALEM",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "44460",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "330-337-9922",
"PracticeLocationAddressFaxNumber": "330-332-2623",
"EnumerationDate": "05/12/2006",
"LastUpdateDate": "08/10/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HACKSTEDDE",
"AuthorizedOfficialFirstName": "ANITA",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "PRESIDENT CEO",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "330-332-7214",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}