NPI Code Detail JSON Logo

1407326978 NPI number — BURDOIN MOUNTAIN MATERNITY CARE, PLLC

NPI Number: 1407326978
Health Care Provider/Practitioner: BURDOIN MOUNTAIN MATERNITY CARE, PLLC

Information about “1407326978” NPI (BURDOIN MOUNTAIN MATERNITY CARE, PLLC) exists in 1407326978 in HTML format HTML  |  1407326978 in plain Text format TXT  |  1407326978 in PDF (Portable Document Format) PDF  |  1407326978 in an XML format XML  formats.

NPI Number : 1407326978 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1407326978",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BURDOIN MOUNTAIN MATERNITY CARE, PLLC",
    "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 886",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WHITE SALMON",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98672-0886",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-289-2119",
    "MailingAddressFaxNumber": "509-232-5809",
    "FirstLinePracticeLocationAddress": "181 W JEWETT BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WHITE SALMON",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98672-8974",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-289-2119",
    "PracticeLocationAddressFaxNumber": "509-493-1264",
    "EnumerationDate": "11/27/2018",
    "LastUpdateDate": "05/02/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "VANCE",
    "AuthorizedOfficialFirstName": "CHARDONNAY",
    "AuthorizedOfficialMiddleName": "JULIA",
    "AuthorizedOfficialTitle": "PHYSICIAN, OWNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD, PHD",
    "AuthorizedOfficialTelephoneNumber": "509-289-2119",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251E00000X",
          "TaxonomyName": "Home Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251G00000X",
          "TaxonomyName": "Community Based Hospice Care Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251K00000X",
          "TaxonomyName": "Public Health or Welfare Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251V00000X",
          "TaxonomyName": "Voluntary or Charitable Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QB0400X",
          "TaxonomyName": "Birthing Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QC1500X",
          "TaxonomyName": "Community Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QP2300X",
          "TaxonomyName": "Primary Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QR1300X",
          "TaxonomyName": "Rural Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QU0200X",
          "TaxonomyName": "Urgent Care Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261Q00000X",
          "TaxonomyName": "Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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