{
"Npi": {
"NPI": "1396790218",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ST. CHARLES COUNTY AMBULANCE DISTRICT",
"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": "2000 SALT RIVER RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAINT PETERS",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63376-3956",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "636-344-7600",
"MailingAddressFaxNumber": "636-447-9060",
"FirstLinePracticeLocationAddress": "2000 SALT RIVER RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAINT PETERS",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63376-3956",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "636-344-7600",
"PracticeLocationAddressFaxNumber": "636-447-9060",
"EnumerationDate": "05/23/2006",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEWIS",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "ASSISTANT CHIEF",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MHA, FACHE",
"AuthorizedOfficialTelephoneNumber": "636-344-7681",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "183032",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}