{"npi":"1124084843","type":"NPI-2","status":"active","name":{"display":"St Cloud Outpatient Surgery Ltd","other":[],"organization_name":"ST CLOUD OUTPATIENT SURGERY LTD","authorised_official":"Darci Nagorski"},"specialty":{"primary_taxonomy":"261QA1903X","primary_taxonomy_description":"Ambulatory Surgical Clinic/Center","slug":"ambulatory-surgical-clinic-center","schema_org_specialty":null,"all":[{"code":"261QA1903X","description":"Ambulatory Surgical Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1526 NORTHWAY DR","city":"SAINT CLOUD","state":"MN","postal_code":"563031255","country_code":"US","phone":"3202518385"},{"purpose":"MAILING","street_1":"1526 NORTHWAY DR","city":"SAINT CLOUD","state":"MN","postal_code":"563031255","country_code":"US"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040527000651","type_code":"12-49","type_desc":"PART B SUPPLIER - AMBULATORY SURGICAL CENTER","state":"MN","pac_id":"6800877622"}]},"enumeration_date":"2006-04-21","last_updated":"2018-09-17","_meta":{"source":"NPPES","snapshot_date":"2018-09-17","doc_url":"https://findmynpi.com/api"}}