{
"Npi": {
"NPI": "1659377596",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AMBULANCE BILLING SERVICE",
"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": "2809 W GODMAN AVE",
"SecondLineMailingAddress": "STE 9",
"MailingAddressCityName": "MUNCIE",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47304-4415",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "765-287-1015",
"MailingAddressFaxNumber": "765-287-1072",
"FirstLinePracticeLocationAddress": "2809 W GODMAN AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MUNCIE",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47304-4477",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "765-287-1015",
"PracticeLocationAddressFaxNumber": "765-287-1072",
"EnumerationDate": "06/24/2005",
"LastUpdateDate": "06/13/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RIGNEY",
"AuthorizedOfficialFirstName": "LYNNE",
"AuthorizedOfficialMiddleName": "ELLEN",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "765-287-1015",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": "0234",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}