{
"Npi": {
"NPI": "1952319840",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "KNOXVILLE COMMUNITY HOSPITAL INC",
"ParentOrgTIN": null,
"OrgName": "KNOXVILLE COMMUNITY HOSPITAL INC",
"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": "1002 S LINCOLN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KNOXVILLE",
"MailingAddressStateName": "IA",
"MailingAddressPostalCode": "50138-3155",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "641-842-2151",
"MailingAddressFaxNumber": "641-842-1470",
"FirstLinePracticeLocationAddress": "1002 S LINCOLN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KNOXVILLE",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "50138-3155",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "641-842-2151",
"PracticeLocationAddressFaxNumber": "641-842-1470",
"EnumerationDate": "08/04/2006",
"LastUpdateDate": "10/26/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KINCAID",
"AuthorizedOfficialFirstName": "KEVIN",
"AuthorizedOfficialMiddleName": "L.",
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "641-842-1400",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "282NC0060X",
"TaxonomyName": "Critical Access Hospital",
"LicenseNumber": "630031H",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "275N00000X",
"TaxonomyName": "Medicare Defined Swing Bed Hospital Unit",
"LicenseNumber": "630031H",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}