{
"Npi": {
"NPI": "1629295456",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CITY OF BELTON",
"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": "506 MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BELTON",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "64012-2618",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "816-331-4331",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "16300 N MULLEN RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BELTON",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "64012-2618",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "816-331-4331",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/20/2007",
"LastUpdateDate": "07/01/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ERNZEN",
"AuthorizedOfficialFirstName": "SHEILA",
"AuthorizedOfficialMiddleName": "ERNZEN",
"AuthorizedOfficialTitle": "ASST. CITY MANAGER AND FINANCE DIRE",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "816-331-4331",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": "037010",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}