{
"Npi": {
"NPI": "1801941315",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CITY OF CAMAS",
"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": "616 NE 4TH AVE",
"SecondLineMailingAddress": "STE 1",
"MailingAddressCityName": "CAMAS",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98607-2108",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "360-834-2262",
"MailingAddressFaxNumber": "360-834-8854",
"FirstLinePracticeLocationAddress": "616 NE 4TH AVE",
"SecondLinePracticeLocationAddress": "STE 1",
"PracticeLocationAddressCityName": "CAMAS",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98607-2108",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "360-834-2262",
"PracticeLocationAddressFaxNumber": "360-834-8854",
"EnumerationDate": "01/24/2007",
"LastUpdateDate": "01/16/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SWINHART",
"AuthorizedOfficialFirstName": "NICK",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "FIRE CHIEF",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "360-834-2262",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "06M02",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}