{
"Npi": {
"NPI": "1902117492",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "PARTNERS FIRST MEDICAL SUPPLY COMPANY LLC",
"ParentOrgTIN": null,
"OrgName": "PARTNERS FIRST MEDICAL SUPPLY COMPANY OF FAIRFIELD COUNTY",
"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": "227 GOLF COURSE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WINNSBORO",
"MailingAddressStateName": "SC",
"MailingAddressPostalCode": "29180-7084",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "803-378-6131",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "227 GOLF COURSE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WINNSBORO",
"PracticeLocationAddressStateName": "SC",
"PracticeLocationAddressPostalCode": "29180-7084",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "803-378-6131",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "06/29/2010",
"LastUpdateDate": "06/29/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HILL",
"AuthorizedOfficialFirstName": "STEPHEN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "803-378-6131",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}