{"npi":"1154635407","type":"NPI-2","status":"active","name":{"display":"Edwards Clinic, Psc","other":[],"organization_name":"EDWARDS CLINIC, PSC","authorised_official":"Dana Edwards"},"specialty":{"primary_taxonomy":"261QR1300X","primary_taxonomy_description":"Rural Health Clinic/Center","slug":"rural-health-clinic-center","schema_org_specialty":null,"all":[{"code":"208600000X","description":"Surgery","primary":false,"state":"KY","license":null},{"code":"363LF0000X","description":"Family Nurse Practitioner","primary":false,"state":"KY","license":null},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"KY","license":null},{"code":"261QR1300X","description":"Rural Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"204 TOWN BRANCH ROAD","city":"MANCHESTER","state":"KY","postal_code":"409621322","country_code":"US","phone":"6065988766","fax":"6065981903"},{"purpose":"MAILING","street_1":"204 TOWN BRANCH RD","city":"MANCHESTER","state":"KY","postal_code":"409621322","country_code":"US","phone":"6065988766","fax":"6065981903"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"7100157720","state":"KY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110415000026","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"KY","pac_id":"9436333465"},{"enrlmt_id":"O20230418000725","type_code":"00-17","type_desc":"PART A PROVIDER - RURAL HEALTH CLINIC","state":"KY","pac_id":"9436333465"}]},"enumeration_date":"2010-07-28","last_updated":"2025-04-22","_meta":{"source":"NPPES","snapshot_date":"2025-04-22","doc_url":"https://findmynpi.com/api"}}