{
"Npi": {
"NPI": "1205985801",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MEYERSDALE 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": "200 HOSPITAL DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MEYERSDALE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "15552-1249",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "814-634-5911",
"MailingAddressFaxNumber": "814-634-0435",
"FirstLinePracticeLocationAddress": "200 HOSPITAL DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MEYERSDALE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "15552-1249",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "814-634-5911",
"PracticeLocationAddressFaxNumber": "814-634-0435",
"EnumerationDate": "01/10/2007",
"LastUpdateDate": "04/09/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LIBENGOOD",
"AuthorizedOfficialFirstName": "MARY",
"AuthorizedOfficialMiddleName": "L.",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "814-634-5911",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282NC0060X",
"TaxonomyName": "Critical Access Hospital",
"LicenseNumber": "391101",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}