{
"Npi": {
"NPI": "1932182458",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MISSISSIPPI STATE DEPARTMENT OF HEALTH",
"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": "400A WILKINS WISE RD",
"SecondLineMailingAddress": "STE 1",
"MailingAddressCityName": "COLUMBUS",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39705-1796",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "662-328-6158",
"MailingAddressFaxNumber": "662-328-6382",
"FirstLinePracticeLocationAddress": "400A WILKINS WISE RD",
"SecondLinePracticeLocationAddress": "STE 1",
"PracticeLocationAddressCityName": "COLUMBUS",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39705-1796",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "662-328-6158",
"PracticeLocationAddressFaxNumber": "662-328-6382",
"EnumerationDate": "11/29/2005",
"LastUpdateDate": "07/14/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BOWMAN",
"AuthorizedOfficialFirstName": "MELANIE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR OF HOME HEALTH",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "RN",
"AuthorizedOfficialTelephoneNumber": "601-576-7853",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "251E00000X",
"TaxonomyName": "Home Health Agency",
"LicenseNumber": "6581",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}