{
"Npi": {
"NPI": "1366699100",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEALTHCARE QUALITY MANAGEMENT",
"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": "8880 GERMANTOWN RD",
"SecondLineMailingAddress": "STE 502",
"MailingAddressCityName": "OLIVE BRANCH",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "38654-8519",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "662-890-6939",
"MailingAddressFaxNumber": "662-890-1890",
"FirstLinePracticeLocationAddress": "8880 GERMANTOWN RD",
"SecondLinePracticeLocationAddress": "STE 502",
"PracticeLocationAddressCityName": "OLIVE BRANCH",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "38654-8519",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "662-890-6939",
"PracticeLocationAddressFaxNumber": "662-890-1890",
"EnumerationDate": "08/23/2008",
"LastUpdateDate": "08/23/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAGEE",
"AuthorizedOfficialFirstName": "JACQUELINE",
"AuthorizedOfficialMiddleName": "YVETTE",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN, BSN",
"AuthorizedOfficialTelephoneNumber": "662-890-6939",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}