{
"Npi": {
"NPI": "1649428632",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "CITY OF CEYLON",
"ParentOrgTIN": null,
"OrgName": "CITY OF CEYLON",
"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": "301 W MAIN ST",
"SecondLineMailingAddress": "P. O. BOX 328",
"MailingAddressCityName": "CEYLON",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "56121-5002",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "507-632-4653",
"MailingAddressFaxNumber": "507-632-4653",
"FirstLinePracticeLocationAddress": "301 W MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CEYLON",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "56121-5002",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "507-632-4653",
"PracticeLocationAddressFaxNumber": "507-632-4653",
"EnumerationDate": "09/03/2008",
"LastUpdateDate": "09/03/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DITZ",
"AuthorizedOfficialFirstName": "WILLIAM",
"AuthorizedOfficialMiddleName": "F.",
"AuthorizedOfficialTitle": "CLERK/TREASURER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "507-632-4653",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "0327",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}