{"npi":"1396741302","type":"NPI-2","status":"active","name":{"display":"Community Hospital Association","other":[],"organization_name":"COMMUNITY HOSPITAL ASSOCIATION","authorised_official":"Jon Davis"},"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":"MO","license":null},{"code":"261QR1300X","description":"Rural Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"100 E CASS ST","city":"ROCK PORT","state":"MO","postal_code":"644821528","country_code":"US","phone":"6607445361","fax":"6607442247"},{"purpose":"MAILING","street_1":"100 E CASS STREET","city":"ROCK PORT","state":"MO","postal_code":"644821528","country_code":"US","phone":"6607445361","fax":"6607442247"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"505428102","state":"MO","issuer":null},{"type_code":"01","label":"Other","value":"29516017","state":"MO","issuer":"BCBS KANSAS CITY MO"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20190926001338","type_code":"00-17","type_desc":"PART A PROVIDER - RURAL HEALTH CLINIC","state":"MO","pac_id":"1557316783"}]},"enumeration_date":"2005-06-23","last_updated":"2020-12-18","_meta":{"source":"NPPES","snapshot_date":"2020-12-18","doc_url":"https://findmynpi.com/api"}}