{
"Npi": {
"NPI": "1497181267",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HEALTH SERVICE CORPORATION",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 144",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FOREST HILLS",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "41527-0144",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "606-371-0378",
"MailingAddressFaxNumber": "606-237-1001",
"FirstLinePracticeLocationAddress": "306 HOSPITAL DR",
"SecondLinePracticeLocationAddress": "SUITE 101",
"PracticeLocationAddressCityName": "SOUTH WILLIAMSON",
"PracticeLocationAddressStateName": "KY",
"PracticeLocationAddressPostalCode": "41503-4095",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "606-237-1000",
"PracticeLocationAddressFaxNumber": "606-237-1001",
"EnumerationDate": "09/24/2013",
"LastUpdateDate": "09/24/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAHMOOD",
"AuthorizedOfficialFirstName": "MANSOOR",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "606-371-0378",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "31447",
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}