{
"Npi": {
"NPI": "1760604649",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VENTURA MEDICAL SERVICES, INC",
"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": "5907 THEALL RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOUSTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "77066-2341",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "936-228-3478",
"MailingAddressFaxNumber": "936-755-1037",
"FirstLinePracticeLocationAddress": "1500 S ROBB ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TRINITY",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75862-7647",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "936-228-3478",
"PracticeLocationAddressFaxNumber": "936-755-1037",
"EnumerationDate": "05/02/2007",
"LastUpdateDate": "11/07/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SHELLEY",
"AuthorizedOfficialFirstName": "KEITH",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "936-228-3478",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}