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1881036713 NPI number — CLINTON HMPN, LLC

NPI Number: 1881036713
Health Care Provider/Practitioner: CLINTON HMPN, LLC

Information about “1881036713” NPI (CLINTON HMPN, LLC) exists in 1881036713 in HTML format HTML  |  1881036713 in plain Text format TXT  |  1881036713 in PDF (Portable Document Format) PDF  |  1881036713 in an XML format XML  formats.

NPI Number : 1881036713 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881036713",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "HEALTH MANAGEMENT ASSOCIATES",
    "ParentOrgTIN": null,
    "OrgName": "CLINTON HMPN, LLC",
    "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": "5811 PELICAN BAY BLVD",
    "SecondLineMailingAddress": "#500",
    "MailingAddressCityName": "NAPLES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34108-2733",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "239-552-3575",
    "MailingAddressFaxNumber": "239-552-3575",
    "FirstLinePracticeLocationAddress": "341 S 28TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLINTON",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73601-3701",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "580-323-8747",
    "PracticeLocationAddressFaxNumber": "580-323-8426",
    "EnumerationDate": "07/19/2013",
    "LastUpdateDate": "07/19/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "EASTERLING",
    "AuthorizedOfficialFirstName": "DONALD",
    "AuthorizedOfficialMiddleName": "PATRICK",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "239-552-3575",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "208000000X",
        "TaxonomyName": "Pediatrics Physician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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