{
"Npi": {
"NPI": "1598385783",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CITY OF GOODYEAR",
"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": "1900 N CIVIC SQ",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GOODYEAR",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85395-2012",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "623-932-2300",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "14455 W VAN BUREN ST # E102",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GOODYEAR",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85338-9209",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "623-688-4877",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/17/2020",
"LastUpdateDate": "01/30/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KLEINSCHMIDT",
"AuthorizedOfficialFirstName": "ERIC",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "BATTALION CHIEF",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "623-688-4877",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "146L00000X",
"TaxonomyName": "Paramedic",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}