{"npi":"1235182155","type":"NPI-2","status":"active","name":{"display":"Clearwater Operations, LLC","other":[],"organization_name":"CLEARWATER OPERATIONS, LLC","authorised_official":"Cindy Cross"},"specialty":{"primary_taxonomy":"314000000X","primary_taxonomy_description":"Skilled Nursing Facility","slug":"skilled-nursing-facility","schema_org_specialty":null,"all":[{"code":"314000000X","description":"Skilled Nursing Facility","primary":true,"state":"ID","license":"85"}]},"addresses":[{"purpose":"LOCATION","street_1":"325 WARNER DR","city":"LEWISTON","state":"ID","postal_code":"835014437","country_code":"US","phone":"2087988500","fax":"2087988530"},{"purpose":"MAILING","street_1":"3001 KEITH ST NW","city":"CLEVELAND","state":"TN","postal_code":"373123713","country_code":"US","phone":"4234735751","fax":"4233398342"}],"license":{"state":"ID","number":"85"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8050692","state":"ID","issuer":null},{"type_code":"05","label":"Medicaid","value":"805069200","state":"ID","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040707001080","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"ID","pac_id":"3870570864"}]},"enumeration_date":"2006-05-19","last_updated":"2017-02-27","_meta":{"source":"NPPES","snapshot_date":"2017-02-27","doc_url":"https://findmynpi.com/api"}}