{
"Npi": {
"NPI": "1902096308",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEVADA URGENT CARE",
"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 307",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEVADA",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "64772-0307",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "417-667-9000",
"MailingAddressFaxNumber": "417-667-9029",
"FirstLinePracticeLocationAddress": "111 N ELM ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NEVADA",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "64772-2609",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "417-667-9000",
"PracticeLocationAddressFaxNumber": "417-667-9029",
"EnumerationDate": "07/31/2007",
"LastUpdateDate": "10/19/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ASBERRY",
"AuthorizedOfficialFirstName": "DEBORAH",
"AuthorizedOfficialMiddleName": "S",
"AuthorizedOfficialTitle": "OWNER/PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "NP",
"AuthorizedOfficialTelephoneNumber": "417-667-9000",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "089091",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}