{
"Npi": {
"NPI": "1417146259",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PRENTISS REGIONAL HOSPITAL AND ECF, INC.",
"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 1288",
"SecondLineMailingAddress": "1102 ROSE ST",
"MailingAddressCityName": "PRENTISS",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39474-1288",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "601-792-4276",
"MailingAddressFaxNumber": "601-792-2947",
"FirstLinePracticeLocationAddress": "4297 HIGHWAY 42",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BASSFIELD",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39421",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "601-943-5060",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/17/2007",
"LastUpdateDate": "10/17/2007",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCCALL",
"AuthorizedOfficialFirstName": "GARY",
"AuthorizedOfficialMiddleName": "LEE",
"AuthorizedOfficialTitle": "COO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "601-792-4276",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QC0050X",
"TaxonomyName": "Critical Access Hospital Clinic/Center",
"LicenseNumber": "16179",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}