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1497930184 NPI number — DEPARTMENT OF VETERANS AFFAIR G.V. (SONNY) MONTGOMERY VA MEDICAL CENTE

NPI Number: 1497930184
Health Care Provider/Practitioner: DEPARTMENT OF VETERANS AFFAIR G.V. (SONNY) MONTGOMERY VA MEDICAL CENTE

Information about “1497930184” NPI (DEPARTMENT OF VETERANS AFFAIR G.V. (SONNY) MONTGOMERY VA MEDICAL CENTE) exists in 1497930184 in HTML format HTML  |  1497930184 in plain Text format TXT  |  1497930184 in PDF (Portable Document Format) PDF  |  1497930184 in an XML format XML  formats.

NPI Number : 1497930184 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1497930184",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DEPARTMENT OF VETERANS AFFAIR G.V. (SONNY) MONTGOMERY VA MEDICAL CENTE",
    "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": "5942 WESTMORE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSON",
    "MailingAddressStateName": "MS",
    "MailingAddressPostalCode": "39206-2209",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "601-366-1739",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5942 WESTMORE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "JACKSON",
    "PracticeLocationAddressStateName": "MS",
    "PracticeLocationAddressPostalCode": "39206-2209",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "601-366-1739",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/01/2008",
    "LastUpdateDate": "01/01/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "WHEAT",
    "AuthorizedOfficialFirstName": "AMY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "NURSE RECRUITER",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN, BSN",
    "AuthorizedOfficialTelephoneNumber": "601-368-3873",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "286500000X",
        "TaxonomyName": "Military Hospital",
        "LicenseNumber": "P321453",
        "LicenseNumberStateCode": "MS",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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