{
"Npi": {
"NPI": "1306004205",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GREENWICH HOSPITAL",
"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": "5 PERRYRIDGE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GREENWICH",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06830-4608",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-863-3103",
"MailingAddressFaxNumber": "203-863-3800",
"FirstLinePracticeLocationAddress": "5 PERRYRIDGE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GREENWICH",
"PracticeLocationAddressStateName": "CT",
"PracticeLocationAddressPostalCode": "06830-4608",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "203-863-3103",
"PracticeLocationAddressFaxNumber": "203-863-3800",
"EnumerationDate": "05/28/2008",
"LastUpdateDate": "05/28/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TAYLOR",
"AuthorizedOfficialFirstName": "GLEN",
"AuthorizedOfficialMiddleName": "G",
"AuthorizedOfficialTitle": "DIRECTOR PHARMACY",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RPH",
"AuthorizedOfficialTelephoneNumber": "203-863-3103",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282NR1301X",
"TaxonomyName": "Rural Acute Care Hospital",
"LicenseNumber": "0045",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}