{
"Npi": {
"NPI": "1528054699",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HANOVER TOWNSHIP COMMUNITY AMBULANCE ASSOCIATION INC",
"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 207",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALLENTOWN",
"MailingAddressStateName": "PA",
"MailingAddressPostalCode": "18105-0207",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-473-2278",
"MailingAddressFaxNumber": "484-664-2015",
"FirstLinePracticeLocationAddress": "1001 CENTER ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HANOVER TOWNSHIP",
"PracticeLocationAddressStateName": "PA",
"PracticeLocationAddressPostalCode": "18706-5034",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "570-825-1266",
"PracticeLocationAddressFaxNumber": "570-970-9830",
"EnumerationDate": "09/23/2005",
"LastUpdateDate": "11/01/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RINKEVICH",
"AuthorizedOfficialFirstName": "FRANK",
"AuthorizedOfficialMiddleName": "D",
"AuthorizedOfficialTitle": "FINANCIAL SEC",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": "SR.",
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "570-822-4213",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "04188",
"LicenseNumberStateCode": "PA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}