{
"Npi": {
"NPI": "1699264010",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOUSECALL CLINIC P.L.L.C.",
"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": "107 1ST ST SE STE 102",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LITTLE FALLS",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "56345-3074",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "320-733-0174",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "107 1ST ST SE STE 102",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LITTLE FALLS",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "56345-3074",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "320-733-0174",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/02/2018",
"LastUpdateDate": "05/02/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUSBY",
"AuthorizedOfficialFirstName": "MARILYN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER, MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "APRN, CNP",
"AuthorizedOfficialTelephoneNumber": "320-733-0174",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "730927",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}