{
"Npi": {
"NPI": "1962625285",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "OREGON AMBULANCE SERVICE,INC",
"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": "101 MADISON ST",
"SecondLineMailingAddress": "PO BOX 122",
"MailingAddressCityName": "OREGON",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "61061-1824",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "815-732-7881",
"MailingAddressFaxNumber": "815-732-7881",
"FirstLinePracticeLocationAddress": "101 MADISON ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OREGON",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "61061-1824",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "815-732-7881",
"PracticeLocationAddressFaxNumber": "815-732-7881",
"EnumerationDate": "04/11/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FERRIS",
"AuthorizedOfficialFirstName": "BETTY",
"AuthorizedOfficialMiddleName": "J",
"AuthorizedOfficialTitle": "OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PARAMEDIC",
"AuthorizedOfficialTelephoneNumber": "815-732-7881",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": "135501",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}