{"npi":"1477685162","type":"NPI-2","status":"active","name":{"display":"Phillips County Retirement Corporation","other":[],"organization_name":"PHILLIPS COUNTY RETIREMENT CORPORATION","authorised_official":"Kristi Kuck"},"specialty":{"primary_taxonomy":"313M00000X","primary_taxonomy_description":"Nursing Facility/Intermediate Care Facility","slug":"nursing-facility-intermediate-care-facility","schema_org_specialty":null,"all":[{"code":"313M00000X","description":"Nursing Facility/Intermediate Care Facility","primary":true,"state":"KS","license":"N074003"}]},"addresses":[{"purpose":"LOCATION","street_1":"1300 STATE STREET","city":"PHILLIPSBURG","state":"KS","postal_code":"67661","country_code":"US","phone":"7855432131","fax":"7855435200"},{"purpose":"MAILING","street_1":"1300 STATE STREET","city":"PHILLIPSBURG","state":"KS","postal_code":"67661","country_code":"US","street_2":"P.O. BOX 628","phone":"7855432131","fax":"7855435200"}],"license":{"state":"KS","number":"N074003"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"110111750A","state":"KS","issuer":null},{"type_code":"01","label":"Other","value":"N074003","state":"KS","issuer":"STATE I.D."}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-09","last_updated":"2012-06-26","_meta":{"source":"NPPES","snapshot_date":"2012-06-26","doc_url":"https://findmynpi.com/api"}}