{
"Npi": {
"NPI": "1639544760",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ALABAMA HEARING AID CENTER OF TUSCALOOSA, 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 1519",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "TUSCALOOSA",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35403-1519",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "205-242-5635",
"MailingAddressFaxNumber": "205-330-0909",
"FirstLinePracticeLocationAddress": "2403 5TH ST N",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COLUMBUS",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39705-2005",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "205-242-5635",
"PracticeLocationAddressFaxNumber": "205-330-0909",
"EnumerationDate": "12/01/2015",
"LastUpdateDate": "12/01/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BANK",
"AuthorizedOfficialFirstName": "JOEL",
"AuthorizedOfficialMiddleName": "MARTIN",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "NBC-HIS",
"AuthorizedOfficialTelephoneNumber": "205-242-5635",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": "HA0582",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}