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1679784029 NPI number — VILLAGE OF CAMBRIA

NPI Number: 1679784029
Health Care Provider/Practitioner: VILLAGE OF CAMBRIA

Information about “1679784029” NPI (VILLAGE OF CAMBRIA) exists in 1679784029 in HTML format HTML  |  1679784029 in plain Text format TXT  |  1679784029 in PDF (Portable Document Format) PDF  |  1679784029 in an XML format XML  formats.

NPI Number : 1679784029 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679784029",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "VILLAGE OF CAMBRIA",
    "ParentOrgTIN": null,
    "OrgName": "VILLAGE OF CAMBRIA",
    "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 295",
    "SecondLineMailingAddress": "111 W EDGEWATER STREET",
    "MailingAddressCityName": "CAMBRIA",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53923-0295",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "920-348-5443",
    "MailingAddressFaxNumber": "920-348-6050",
    "FirstLinePracticeLocationAddress": "702 ELIZABETH STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CAMBRIA",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "53923",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "920-348-5501",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/25/2007",
    "LastUpdateDate": "04/20/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KRATKY",
    "AuthorizedOfficialFirstName": "LORI",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SECRETARY TREASURER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "920-348-5443",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "341600000X",
        "TaxonomyName": "Ambulance",
        "LicenseNumber": "6001091",
        "LicenseNumberStateCode": "WI",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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