{"npi":"1073601258","type":"NPI-2","status":"active","name":{"display":"Prairie St. John's Clinic","other":[],"organization_name":"PRAIRIE ST. JOHN'S CLINIC","authorised_official":"Jerry Magnison"},"specialty":{"primary_taxonomy":"261QM0855X","primary_taxonomy_description":"Adolescent and Children Mental Health Clinic/Center","slug":"adolescent-and-children-mental-health-clinic-center","schema_org_specialty":null,"all":[{"code":"261QM0855X","description":"Adolescent and Children Mental Health Clinic/Center","primary":true,"state":"ND","license":"5063A"}]},"addresses":[{"purpose":"LOCATION","street_1":"7616 CURRELL BLVD","city":"WOODBURY","state":"MN","postal_code":"551252290","country_code":"US","street_2":"SUITE 100","phone":"6512599700","fax":"6512599740"},{"purpose":"MAILING","street_1":"510 4TH ST S","city":"FARGO","state":"ND","postal_code":"581031914","country_code":"US","street_2":"PO BOX 2027","phone":"7014767221","fax":"7014767261"}],"license":{"state":"ND","number":"5063A"},"identifiers":[{"type_code":"01","label":"Other","value":"238T5PR","state":"MN","issuer":"MINNESOTA BLUE CROSS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-10-11","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}