{"npi":"1134462856","type":"NPI-2","status":"active","name":{"display":"Southfork Healthcare","other":[],"organization_name":"SOUTHFORK HEALTHCARE","authorised_official":"Wendy Swope"},"specialty":{"primary_taxonomy":"261QP2300X","primary_taxonomy_description":"Primary Care Clinic","slug":"primary-care-clinic","schema_org_specialty":"PrimaryCare","all":[{"code":"261QP2300X","description":"Primary Care Clinic","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"166 ELK PATH","city":"SWAN VALLEY","state":"ID","postal_code":"834490101","country_code":"US","phone":"2083601997"},{"purpose":"MAILING","street_1":"PO BOX 101","city":"SWAN VALLEY","state":"ID","postal_code":"834490101","country_code":"US","phone":"2083601997"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20130904000926","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"ID","pac_id":"0749423150"}]},"enumeration_date":"2013-04-01","last_updated":"2023-05-29","_meta":{"source":"NPPES","snapshot_date":"2023-05-29","doc_url":"https://findmynpi.com/api"}}