{
"Npi": {
"NPI": "1689713729",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WEST VOLUNTARY AMBULANCE ASSOCIATION",
"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": "411 MEADOW DR",
"SecondLineMailingAddress": "P.O. BOX 461",
"MailingAddressCityName": "WEST",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76691-1033",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "254-826-3779",
"MailingAddressFaxNumber": "254-826-3149",
"FirstLinePracticeLocationAddress": "411 MEADOW DR",
"SecondLinePracticeLocationAddress": "BOX 461",
"PracticeLocationAddressCityName": "WEST",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76691-1033",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "254-826-3779",
"PracticeLocationAddressFaxNumber": "254-826-3149",
"EnumerationDate": "02/05/2007",
"LastUpdateDate": "02/28/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MAREK",
"AuthorizedOfficialFirstName": "TOM",
"AuthorizedOfficialMiddleName": "EDWIN",
"AuthorizedOfficialTitle": "DIRECTOR OF OPERATIONS",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PARAMEDIC",
"AuthorizedOfficialTelephoneNumber": "254-826-3779",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "300039",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}