{
"Npi": {
"NPI": "1861632127",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BELLEVUE URGENT CARE LP",
"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": "1307 HARLAN DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BELLEVUE",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "68005-3699",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "402-291-8701",
"MailingAddressFaxNumber": "402-291-8702",
"FirstLinePracticeLocationAddress": "1307 HARLAN DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BELLEVUE",
"PracticeLocationAddressStateName": "NE",
"PracticeLocationAddressPostalCode": "68005-3699",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "402-291-8701",
"PracticeLocationAddressFaxNumber": "402-291-8702",
"EnumerationDate": "02/26/2009",
"LastUpdateDate": "02/26/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GREGORY",
"AuthorizedOfficialFirstName": "DARIN",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "MD/OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "402-291-8701",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}