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1730486416 NPI number — PLAZA AMBULANCE SERVICE

NPI Number: 1730486416
Health Care Provider/Practitioner: PLAZA AMBULANCE SERVICE

Information about “1730486416” NPI (PLAZA AMBULANCE SERVICE) exists in 1730486416 in HTML format HTML  |  1730486416 in plain Text format TXT  |  1730486416 in PDF (Portable Document Format) PDF  |  1730486416 in an XML format XML  formats.

NPI Number : 1730486416 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730486416",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PLAZA AMBULANCE SERVICE",
    "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": "308 4TH AVE.",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLAZA",
    "MailingAddressStateName": "ND",
    "MailingAddressPostalCode": "58771-0057",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "701-497-3766",
    "MailingAddressFaxNumber": "701-497-3779",
    "FirstLinePracticeLocationAddress": "308 4TH AVE.",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PLAZA",
    "PracticeLocationAddressStateName": "ND",
    "PracticeLocationAddressPostalCode": "58771-0057",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "701-497-3766",
    "PracticeLocationAddressFaxNumber": "701-497-3779",
    "EnumerationDate": "02/16/2011",
    "LastUpdateDate": "02/16/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "JOHNSON",
    "AuthorizedOfficialFirstName": "GARY",
    "AuthorizedOfficialMiddleName": "LAVERNE",
    "AuthorizedOfficialTitle": "SQUAD LEADER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "701-497-3766",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3416L0300X",
        "TaxonomyName": "Land Ambulance",
        "LicenseNumber": "104",
        "LicenseNumberStateCode": "ND",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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