{"npi":"1063780583","type":"NPI-2","status":"active","name":{"display":"Wickenburg Healthcare Alliance INC","other":[],"organization_name":"WICKENBURG HEALTHCARE ALLIANCE INC","authorised_official":"Thomas Matlock"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"AZ","license":"AZ4277"}]},"addresses":[{"purpose":"LOCATION","street_1":"108 N FRONTIER ST","city":"WICKENBURG","state":"AZ","postal_code":"853904411","country_code":"US","phone":"9286847255"},{"purpose":"MAILING","street_1":"108 N FRONTIER STREET","city":"WICKENBURG","state":"AZ","postal_code":"853904411","country_code":"US","phone":"9286847255","fax":"6236918113"}],"license":{"state":"AZ","number":"AZ4277"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"203878","state":"AZ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2011-12-12","last_updated":"2012-01-30","_meta":{"source":"NPPES","snapshot_date":"2012-01-30","doc_url":"https://findmynpi.com/api"}}