{"npi":"1154379469","type":"NPI-2","status":"active","name":{"display":"Mississippi Band Of Choctaw Indians","other":[],"organization_name":"MISSISSIPPI BAND OF CHOCTAW INDIANS","authorised_official":"Wendy Moran"},"specialty":{"primary_taxonomy":"313M00000X","primary_taxonomy_description":"Nursing Facility/Intermediate Care Facility","slug":"nursing-facility-intermediate-care-facility","schema_org_specialty":null,"all":[{"code":"313M00000X","description":"Nursing Facility/Intermediate Care Facility","primary":true,"state":"MS","license":"583"}]},"addresses":[{"purpose":"LOCATION","street_1":"135 HOSPITAL CIR","city":"CHOCTAW","state":"MS","postal_code":"393506780","country_code":"US","phone":"6016562582"},{"purpose":"MAILING","street_1":"135 HOSPITAL CIR","city":"CHOCTAW","state":"MS","postal_code":"393506780","country_code":"US","phone":"6016562582"}],"license":{"state":"MS","number":"583"},"identifiers":[{"type_code":"01","label":"Other","value":"25-5339","state":"MS","issuer":"MEDICARE CCN"},{"type_code":"05","label":"Medicaid","value":"00023031","state":"MS","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20130506000019","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"MS","pac_id":"4385546662"}]},"enumeration_date":"2006-05-05","last_updated":"2013-11-06","_meta":{"source":"NPPES","snapshot_date":"2013-11-06","doc_url":"https://findmynpi.com/api"}}