{
"Npi": {
"NPI": "1437218062",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "MONTGOMERY COUNTY HOSPITAL DISTRICT",
"ParentOrgTIN": null,
"OrgName": "MONTGOMERY COUNTY HOSPITAL DISTRICT",
"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 2587",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CONROE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77305-2587",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "936-523-1128",
"MailingAddressFaxNumber": "936-539-2766",
"FirstLinePracticeLocationAddress": "1400 SOUTH LOOP 336 WEST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CONROE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77304-3504",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "936-523-1128",
"PracticeLocationAddressFaxNumber": "936-539-2766",
"EnumerationDate": "12/08/2006",
"LastUpdateDate": "06/24/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WEBB",
"AuthorizedOfficialFirstName": "KAREN",
"AuthorizedOfficialMiddleName": "RITA",
"AuthorizedOfficialTitle": "BILLING MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "936-523-1128",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": "300189",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}