{
"Npi": {
"NPI": "1801958244",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DAVID'S HEALTH CENTER, INC.",
"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": "200 N. MAIN ST.",
"SecondLineMailingAddress": "P.O. BOX 116",
"MailingAddressCityName": "FORT TOWSON",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "74735-0116",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "580-873-2876",
"MailingAddressFaxNumber": "580-873-2841",
"FirstLinePracticeLocationAddress": "200 N. MAIN ST.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FORT TOWSON",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "74735-0116",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "580-873-2876",
"PracticeLocationAddressFaxNumber": "580-873-2841",
"EnumerationDate": "12/14/2006",
"LastUpdateDate": "01/03/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAVID",
"AuthorizedOfficialFirstName": "JERRY",
"AuthorizedOfficialMiddleName": "WAYNE",
"AuthorizedOfficialTitle": "C.F.O.",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "580-873-2876",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "7384",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}