{
"Npi": {
"NPI": "1902969686",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "CITY OF WHITEFISH",
"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": "PO BOX 3510",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SILVERDALE",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98383-3510",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "800-238-9398",
"MailingAddressFaxNumber": "360-394-7097",
"FirstLinePracticeLocationAddress": "275 FLATHEAD AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WHITEFISH",
"PracticeLocationAddressStateName": "MT",
"PracticeLocationAddressPostalCode": "59937-2659",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "406-863-2483",
"PracticeLocationAddressFaxNumber": "406-863-2499",
"EnumerationDate": "12/18/2006",
"LastUpdateDate": "10/29/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALBERTSON",
"AuthorizedOfficialFirstName": "MARIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMINISTRATIVE ASSISTANT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "406-863-2483",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "68",
"LicenseNumberStateCode": "MT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}