{
"Npi": {
"NPI": "1356484604",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NATCHEZ RURAL HEALTH CLINIC, INC",
"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": "500 MARTIN LUTHER KING JR STREET",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NATCHEZ",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39120-0000",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-446-7332",
"MailingAddressFaxNumber": "601-445-0624",
"FirstLinePracticeLocationAddress": "500 N MARTIN LUTHER KING JR ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NATCHEZ",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39120-2955",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "601-446-7332",
"PracticeLocationAddressFaxNumber": "601-445-0624",
"EnumerationDate": "02/15/2007",
"LastUpdateDate": "06/20/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TODD",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "ROY",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "601-446-7332",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR1300X",
"TaxonomyName": "Rural Health Clinic/Center",
"LicenseNumber": "06605",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}