{
"Npi": {
"NPI": "1932269669",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "ALLAMAKEE EMS ASSOCIATION",
"ParentOrgTIN": null,
"OrgName": "WATERVILLE FIRE DEPT VOLUNTEER RESCUE SQUAD",
"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": "40 FIRST STREET SE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WAUKON",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "52172-2022",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "563-568-3411",
"MailingAddressFaxNumber": "563-568-6139",
"FirstLinePracticeLocationAddress": "84 MAIN STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WATERVILLE",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "52170-7519",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "563-535-7261",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/11/2006",
"LastUpdateDate": "04/28/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MITCHELL",
"AuthorizedOfficialFirstName": "JEFF",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "SERVICE DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "EMT-P",
"AuthorizedOfficialTelephoneNumber": "563-568-3411",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3416L0300X",
"TaxonomyName": "Land Ambulance",
"LicenseNumber": "2030800",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}