{"npi":"1235290735","type":"NPI-2","status":"active","name":{"display":"Sama Healthcare Services, PA","other":[],"organization_name":"SAMA HEALTHCARE SERVICES, PA","authorised_official":"Matthew Calloway"},"specialty":{"primary_taxonomy":"261QP2300X","primary_taxonomy_description":"Primary Care Clinic","slug":"primary-care-clinic","schema_org_specialty":"PrimaryCare","all":[{"code":"261QP2300X","description":"Primary Care Clinic","primary":true,"state":"AR","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"600 S TIMBERLANE DR","city":"EL DORADO","state":"AR","postal_code":"717306990","country_code":"US","phone":"8708622400","fax":"8708648142"},{"purpose":"MAILING","street_1":"600 S TIMBERLANE DR","city":"EL DORADO","state":"AR","postal_code":"717306990","country_code":"US","phone":"8708622400","fax":"8708648142"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"152320002","state":"AR","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040303000421","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AR","pac_id":"0749177855"},{"enrlmt_id":"O20050409000038","type_code":"12-69","type_desc":"PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY","state":"AR","pac_id":"0749177855"}]},"enumeration_date":"2006-12-12","last_updated":"2026-01-12","_meta":{"source":"NPPES","snapshot_date":"2026-01-12","doc_url":"https://findmynpi.com/api"}}