{"npi":"1306973144","type":"NPI-2","status":"active","name":{"display":"Indiana Regional Medical Center","other":[],"organization_name":"INDIANA REGIONAL MEDICAL CENTER","authorised_official":"Michael Ickowski"},"specialty":{"primary_taxonomy":"282NR1301X","primary_taxonomy_description":"Rural Acute Care Hospital","slug":"rural-acute-care-hospital","schema_org_specialty":null,"all":[{"code":"282NR1301X","description":"Rural Acute Care Hospital","primary":true,"state":"PA","license":"090701"}]},"addresses":[{"purpose":"LOCATION","street_1":"835 HOSPITAL ROAD","city":"INDIANA","state":"PA","postal_code":"157010788","country_code":"US","street_2":"PHARMACY DEPARTMENT","phone":"7243577085","fax":"7243577207"},{"purpose":"MAILING","street_1":"PO BOX 788","city":"INDIANA","state":"PA","postal_code":"157010788","country_code":"US","street_2":"835 HOSPITAL ROAD","phone":"7243577000","fax":"7243577414"}],"license":{"state":"PA","number":"090701"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100771353 0018","state":"PA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-02-28","last_updated":"2024-07-10","_meta":{"source":"NPPES","snapshot_date":"2024-07-10","doc_url":"https://findmynpi.com/api"}}