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1629169255 NPI number — COUNTY OF PIKE

NPI Number: 1629169255
Health Care Provider/Practitioner: COUNTY OF PIKE

Information about “1629169255” NPI (COUNTY OF PIKE) exists in 1629169255 in HTML format HTML  |  1629169255 in plain Text format TXT  |  1629169255 in PDF (Portable Document Format) PDF  |  1629169255 in an XML format XML  formats.

NPI Number : 1629169255 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629169255",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COUNTY OF PIKE",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 366",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSFIELD",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62363-0366",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "217-285-6336",
    "MailingAddressFaxNumber": "217-285-9053",
    "FirstLinePracticeLocationAddress": "24085 365TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PITTSFIELD",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62363-2650",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "217-285-9033",
    "PracticeLocationAddressFaxNumber": "217-285-9043",
    "EnumerationDate": "09/27/2006",
    "LastUpdateDate": "04/30/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KENDALL",
    "AuthorizedOfficialFirstName": "KASEY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PIKE COUNTY AMBULANCE ADMINISTRATOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "217-285-6336",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3416L0300X",
        "TaxonomyName": "Land Ambulance",
        "LicenseNumber": "33645",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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