{
"Npi": {
"NPI": "1881701258",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "WAUNAKEE AREA EMERGENCY MEDICAL SERVICE",
"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 33",
"SecondLineMailingAddress": "201 N KLEIN DR",
"MailingAddressCityName": "WAUNAKEE",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53597-0033",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "608-849-7522",
"MailingAddressFaxNumber": "608-849-7583",
"FirstLinePracticeLocationAddress": "201 N KLEIN DR",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WAUNAKEE",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53597-1145",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "608-849-7522",
"PracticeLocationAddressFaxNumber": "608-849-7583",
"EnumerationDate": "08/23/2006",
"LastUpdateDate": "10/28/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GAWLIKOSKI",
"AuthorizedOfficialFirstName": "JAY",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "SERVICE ADMINISTRATOR",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "608-849-7522",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "6001221",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}