{
"Npi": {
"NPI": "1831101864",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "COUNTY OF COLUMBIA",
"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": "323 W. MONROE ST.",
"SecondLineMailingAddress": "P.O. BOX 895",
"MailingAddressCityName": "WYOCENA",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53969",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": "608-429-2607",
"FirstLinePracticeLocationAddress": "323 W. MONROE ST.",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WYOCENA",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53969",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "608-429-2181",
"PracticeLocationAddressFaxNumber": "608-429-2607",
"EnumerationDate": "08/11/2006",
"LastUpdateDate": "11/18/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "YAMRISKA",
"AuthorizedOfficialFirstName": "AMY",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "NURSING HOME ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "NHA",
"AuthorizedOfficialTelephoneNumber": "608-429-2181",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "314000000X",
"TaxonomyName": "Skilled Nursing Facility",
"LicenseNumber": "2418",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}