{"npi":"1245214477","type":"NPI-2","status":"active","name":{"display":"Tidalhealth Nanticoke, INC","other":[],"organization_name":"TIDALHEALTH NANTICOKE, INC","authorised_official":"Stephanie Gary"},"specialty":{"primary_taxonomy":"282N00000X","primary_taxonomy_description":"General Acute Care Hospital","slug":"general-acute-care-hospital","schema_org_specialty":null,"all":[{"code":"291U00000X","description":"Clinical Medical Laboratory","primary":false,"state":null,"license":null},{"code":"261QP2000X","description":"Physical Therapy Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QR0200X","description":"Radiology Clinic","primary":false,"state":null,"license":null},{"code":"282N00000X","description":"General Acute Care Hospital","primary":true,"state":"DE","license":"HSPTL008"}]},"addresses":[{"purpose":"LOCATION","street_1":"801 MIDDLEFORD RD","city":"SEAFORD","state":"DE","postal_code":"199733636","country_code":"US","phone":"3026296611","fax":"3026286363"},{"purpose":"MAILING","street_1":"801 MIDDLEFORD RD","city":"SEAFORD","state":"DE","postal_code":"199733636","country_code":"US","phone":"3026296611","fax":"3026286363"}],"license":{"state":"DE","number":"HSPTL008"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"000067506","state":"DE","issuer":null},{"type_code":"05","label":"Medicaid","value":"000067105","state":"DE","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20071214000079","type_code":"00-09","type_desc":"PART A PROVIDER - HOSPITAL","state":"DE","pac_id":"1355234964"},{"enrlmt_id":"O20090522000278","type_code":"12-Z1","type_desc":"PART B SUPPLIER - HOSPITAL DEPARTMENT(S)","state":"DE","pac_id":"1355234964"}]},"enumeration_date":"2005-12-01","last_updated":"2024-11-21","_meta":{"source":"NPPES","snapshot_date":"2024-11-21","doc_url":"https://findmynpi.com/api"}}