{"npi":"1205940863","type":"NPI-2","status":"active","name":{"display":"Memory Care Clinic","other":[],"organization_name":"MEMORY CARE CLINIC","authorised_official":"Sandra Wenner"},"specialty":{"primary_taxonomy":"261Q00000X","primary_taxonomy_description":"Clinic/Center","slug":"clinic-center","schema_org_specialty":null,"all":[{"code":"261Q00000X","description":"Clinic/Center","primary":true,"state":"MN","license":"1200898-2"}]},"addresses":[{"purpose":"LOCATION","street_1":"2835 W SAINT GERMAIN ST","city":"SAINT CLOUD","state":"MN","postal_code":"563016280","country_code":"US","phone":"3202571777","fax":"3202571776"},{"purpose":"MAILING","street_1":"2835 W SAINT GERMAIN ST","city":"SAINT CLOUD","state":"MN","postal_code":"563016280","country_code":"US","street_2":"P.O. BOX 7776","phone":"3202571777","fax":"3202571776"}],"license":{"state":"MN","number":"1200898-2"},"identifiers":[{"type_code":"01","label":"Other","value":"CO4052","state":"MN","issuer":"MEDICARE PROVIDER GROUP NUMBER"},{"type_code":"05","label":"Medicaid","value":"567188400","state":"MN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-08-19","last_updated":"2009-10-19","_meta":{"source":"NPPES","snapshot_date":"2009-10-19","doc_url":"https://findmynpi.com/api"}}