{
"Npi": {
"NPI": "1306913421",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VOLUNTEER MEDICAL SERVICE CORPS OF NARBERTH",
"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": "101 SIBLEY AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ARDMORE",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "19003-2311",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "610-645-7770",
"MailingAddressFaxNumber": "610-645-7957",
"FirstLinePracticeLocationAddress": "101 SIBLEY AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ARDMORE",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "19003-2311",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "610-645-7770",
"PracticeLocationAddressFaxNumber": "610-645-7957",
"EnumerationDate": "11/30/2006",
"LastUpdateDate": "10/14/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAVEY",
"AuthorizedOfficialFirstName": "ALBERT",
"AuthorizedOfficialMiddleName": "FREDERICK",
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "610-645-7770",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": "03248",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}