{
"Npi": {
"NPI": "1336210905",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CITY OF BALMORHEA",
"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": "PO BOX 323",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BALMORHEA",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79718",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "432-375-2307",
"MailingAddressFaxNumber": "432-375-2200",
"FirstLinePracticeLocationAddress": "310 S SAN ANTONIO",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BALMORHEA",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "79718",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "432-375-2307",
"PracticeLocationAddressFaxNumber": "432-375-2200",
"EnumerationDate": "11/13/2006",
"LastUpdateDate": "06/01/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FREDERICK",
"AuthorizedOfficialFirstName": "RICHARD",
"AuthorizedOfficialMiddleName": "EUGENE",
"AuthorizedOfficialTitle": "EMS DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "EMT-P",
"AuthorizedOfficialTelephoneNumber": "432-375-2307",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "195003",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}