{
"Npi": {
"NPI": "1821174988",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SILVERTON VOLUNTEER AMBULANCE SERVICE, 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": "PO BOX 66",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SILVERTON",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "79257-0066",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "806-983-0518",
"MailingAddressFaxNumber": "888-972-3563",
"FirstLinePracticeLocationAddress": "504 PULITZER ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SILVERTON",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "79257",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "806-823-2134",
"PracticeLocationAddressFaxNumber": "806-823-2359",
"EnumerationDate": "10/31/2006",
"LastUpdateDate": "03/18/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SMITH",
"AuthorizedOfficialFirstName": "CONNIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "SECRETARY",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "EMT",
"AuthorizedOfficialTelephoneNumber": "806-995-2235",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}