{
"Npi": {
"NPI": "1619005683",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CITY OF BETHEL",
"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 1388",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BETHEL",
"MailingAddressStateName": "AK",
"MailingAddressPostalCode": "99559-1388",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "907-543-1375",
"MailingAddressFaxNumber": "907-543-3817",
"FirstLinePracticeLocationAddress": "320 CHIEF EDDIE HOFFMAN HWY",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BETHEL",
"PracticeLocationAddressStateName": "AK",
"PracticeLocationAddressPostalCode": "99559",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "907-543-2131",
"PracticeLocationAddressFaxNumber": "907-543-2702",
"EnumerationDate": "03/01/2007",
"LastUpdateDate": "03/01/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNSON",
"AuthorizedOfficialFirstName": "ERIC",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ASSISTANT FINANCE DIRECTOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "907-543-1375",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "AA0120",
"LicenseNumberStateCode": "AK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}