{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "CLARA CITY AMBULANCE SERVICE",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "PO BOX 560",
"SecondLineMailingAddress": "215 NW 1ST STREET",
"MailingAddressCityName": "CLARA CITY",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "56222-0560",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "320-847-2142",
"MailingAddressFaxNumber": "320-847-2114",
"FirstLinePracticeLocationAddress": "215 NW 1ST ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CLARA CITY",
"PracticeLocationAddressStateName": "MN",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "320-847-2142",
"PracticeLocationAddressFaxNumber": "320-847-2114",
"EnumerationDate": "05/03/2007",
"LastUpdateDate": "04/22/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "AALFS",
"AuthorizedOfficialFirstName": "JULIE",
"AuthorizedOfficialMiddleName": "ANN",
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"AuthorizedOfficialTelephoneNumber": "320-847-2142",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": "0050",
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"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3416L0300X",
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}