{"npi":"1164428272","type":"NPI-2","status":"active","name":{"display":"North Dakota Surgery Center, LLC","other":[],"organization_name":"NORTH DAKOTA SURGERY CENTER, LLC","authorised_official":"Jennifer Baldock"},"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":"ND","license":"35C0001011"}]},"addresses":[{"purpose":"LOCATION","street_1":"2600 47TH AVE SOUTH","city":"GRAND FORKS","state":"ND","postal_code":"58201","country_code":"US","phone":"7017384248","fax":"7017753153"},{"purpose":"MAILING","street_1":"3035 DEMERS AVE","city":"GRAND FORKS","state":"ND","postal_code":"582014040","country_code":"US","phone":"7017384240","fax":"7017753153"}],"license":{"state":"ND","number":"35C0001011"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"10202","state":"ND","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20091202000309","type_code":"12-49","type_desc":"PART B SUPPLIER - AMBULATORY SURGICAL CENTER","state":"ND","pac_id":"0042289415"}]},"enumeration_date":"2005-06-23","last_updated":"2020-02-19","_meta":{"source":"NPPES","snapshot_date":"2020-02-19","doc_url":"https://findmynpi.com/api"}}