{"npi":"1386813616","type":"NPI-2","status":"active","name":{"display":"Mountain States Health Alliance","other":[],"organization_name":"MOUNTAIN STATES HEALTH ALLIANCE","authorised_official":"Juanita Harwood"},"specialty":{"primary_taxonomy":"261QR1300X","primary_taxonomy_description":"Rural Health Clinic/Center","slug":"rural-health-clinic-center","schema_org_specialty":null,"all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":null,"license":null},{"code":"261QR1300X","description":"Rural Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"16431 WISE ST","city":"ST PAUL","state":"VA","postal_code":"24283","country_code":"US","phone":"2767622300","fax":"2767620612"},{"purpose":"MAILING","street_1":"1021 W OAKLAND AVE STE 310","city":"JOHNSON CITY","state":"TN","postal_code":"376042192","country_code":"US","phone":"4233026567","fax":"2767620612"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"020157701","state":"VI","issuer":"DEPARTMENT OF LABOR"},{"type_code":"05","label":"Medicaid","value":"1386813616","state":"VA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-02-20","last_updated":"2024-08-12","_meta":{"source":"NPPES","snapshot_date":"2024-08-12","doc_url":"https://findmynpi.com/api"}}