{
"Npi": {
"NPI": "1437259694",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEARTLAND REGIONAL MEDICAL CENTER",
"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": "5325 FARAON ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAINT JOSEPH",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "64506-3488",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "816-271-6000",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5325 FARAON ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAINT JOSEPH",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "64506-3488",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "816-271-6000",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/25/2006",
"LastUpdateDate": "07/29/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PATTERSON",
"AuthorizedOfficialFirstName": "CINDY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PROVIDER ENROLLMENT SPECIALIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "816-271-7861",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "261QA1903X",
"TaxonomyName": "Ambulatory Surgical Clinic/Center",
"LicenseNumber": "246-0",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "273R00000X",
"TaxonomyName": "Psychiatric Hospital Unit",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "282N00000X",
"TaxonomyName": "General Acute Care Hospital",
"LicenseNumber": "426-9",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}