{
"Npi": {
"NPI": "1437495561",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "PUREVIEW HEALTH CENTER",
"ParentOrgTIN": null,
"OrgName": "PUREVIEW HEALTH 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": "1930 9TH AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HELENA",
"MailingAddressStateName": "MT",
"MailingAddressPostalCode": "59601-4759",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "406-443-2584",
"MailingAddressFaxNumber": "406-457-8990",
"FirstLinePracticeLocationAddress": "1930 9TH AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HELENA",
"PracticeLocationAddressStateName": "MT",
"PracticeLocationAddressPostalCode": "59601-4759",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "406-443-2584",
"PracticeLocationAddressFaxNumber": "406-457-8992",
"EnumerationDate": "12/18/2012",
"LastUpdateDate": "07/21/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STEELEY",
"AuthorizedOfficialFirstName": "JILL-MARIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "406-457-8956",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363AM0700X",
"TaxonomyName": "Medical Physician Assistant",
"LicenseNumber": "20541",
"LicenseNumberStateCode": "MT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}