{
"Npi": {
"NPI": "1316268758",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PATIENT FIRST URGENT CARE LLC",
"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": "2415 MOORES MILL RD",
"SecondLineMailingAddress": "SUITE 230",
"MailingAddressCityName": "AUBURN",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "36830-8428",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "334-502-1117",
"MailingAddressFaxNumber": "334-466-2101",
"FirstLinePracticeLocationAddress": "2415 MOORES MILL RD",
"SecondLinePracticeLocationAddress": "SUITE 230",
"PracticeLocationAddressCityName": "AUBURN",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "36830-8428",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "334-502-1117",
"PracticeLocationAddressFaxNumber": "334-466-2101",
"EnumerationDate": "06/21/2010",
"LastUpdateDate": "07/15/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ROBERTS",
"AuthorizedOfficialFirstName": "JARROD",
"AuthorizedOfficialMiddleName": "S",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "954-353-8203",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": "29094",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}