{
"Npi": {
"NPI": "1760799415",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SOUTHERN OHIO MEDICAL CENTER",
"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": "8635 STATE ROUTE 139",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MINFORD",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45653-9000",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "740-354-2989",
"MailingAddressFaxNumber": "740-356-7488",
"FirstLinePracticeLocationAddress": "1121 KINNEYS LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PORTSMOUTH",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45662-2806",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "740-356-7461",
"PracticeLocationAddressFaxNumber": "740-356-7488",
"EnumerationDate": "09/01/2010",
"LastUpdateDate": "09/01/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CRAFT",
"AuthorizedOfficialFirstName": "STEPHANIE",
"AuthorizedOfficialMiddleName": "LEAH",
"AuthorizedOfficialTitle": "SOCIAL WORKER",
"AuthorizedOfficialNamePrefix": "MS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "LSW/MSW",
"AuthorizedOfficialTelephoneNumber": "740-356-7461",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "282NR1301X",
"TaxonomyName": "Rural Acute Care Hospital",
"LicenseNumber": "S 0700732",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}