{
"Npi": {
"NPI": "1386634863",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CITY OF INKSTER",
"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 630",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WYANDOTTE",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48192-0630",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "877-477-4946",
"MailingAddressFaxNumber": "734-246-2990",
"FirstLinePracticeLocationAddress": "27717 MICHIGAN AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "INKSTER",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48141-2203",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "313-563-9874",
"PracticeLocationAddressFaxNumber": "313-563-6660",
"EnumerationDate": "10/25/2005",
"LastUpdateDate": "01/09/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUBBARD",
"AuthorizedOfficialFirstName": "OLLICE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "FIRE CHIEF",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "734-323-7438",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "084830",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}