{
"Npi": {
"NPI": "1336163039",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CITY OF FARWELL",
"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": "3005 S LAMAR BLVD",
"SecondLineMailingAddress": "SUITE D109-372",
"MailingAddressCityName": "AUSTIN",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78704-8864",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "512-493-0953",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "306 1ST STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FARWELL",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "79325",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "806-481-3303",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/26/2006",
"LastUpdateDate": "06/24/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KUBE",
"AuthorizedOfficialFirstName": "WELDON",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EMS DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "575-799-3996",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "185001",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}