{"npi":"1124131032","type":"NPI-2","status":"active","name":{"display":"Family Medical Center Of Hastings","other":[],"organization_name":"FAMILY MEDICAL CENTER OF HASTINGS","authorised_official":"Gerry Theisen"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1021 W 14TH ST","city":"HASTINGS","state":"NE","postal_code":"689013046","country_code":"US","phone":"4024632423","fax":"4024639697"},{"purpose":"MAILING","street_1":"PO BOX 968","city":"HASTINGS","state":"NE","postal_code":"689020968","country_code":"US","phone":"4024628456"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"02842","state":"NE","issuer":"BCBS NE"},{"type_code":"01","label":"Other","value":"CO4191","state":"NE","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050217000278","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NE","pac_id":"9436101557"},{"enrlmt_id":"O20100930076395","type_code":"30-08","type_desc":"DME SUPPLIER - PHYSICIAN - FAMILY PRACTICE","state":"NE","pac_id":"9436101557"}]},"enumeration_date":"2006-08-16","last_updated":"2023-01-24","_meta":{"source":"NPPES","snapshot_date":"2023-01-24","doc_url":"https://findmynpi.com/api"}}