{
"Npi": {
"NPI": "1255489670",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SAMARITAN NORTH LINCOLN 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": "3011 NE 28TH STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LINCOLN CITY",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97367-4524",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "541-996-7328",
"MailingAddressFaxNumber": "541-996-7397",
"FirstLinePracticeLocationAddress": "3011 NE 28TH STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LINCOLN CITY",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97367-4524",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "541-996-7328",
"PracticeLocationAddressFaxNumber": "541-996-7397",
"EnumerationDate": "01/08/2007",
"LastUpdateDate": "03/11/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "OGDEN",
"AuthorizedOfficialFirstName": "LESLEY",
"AuthorizedOfficialMiddleName": "J.",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "541-996-7100",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "315D00000X",
"TaxonomyName": "Inpatient Hospice",
"LicenseNumber": "16-1049",
"LicenseNumberStateCode": "OR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}