{"npi":"1487878328","type":"NPI-2","status":"active","name":{"display":"N.E.W. Community Clinic, Ltd","other":[],"organization_name":"N.E.W. COMMUNITY CLINIC, LTD","authorised_official":"Keith Szerkins"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":"WI","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"610 N BROADWAY","city":"GREEN BAY","state":"WI","postal_code":"543033426","country_code":"US","phone":"9204377206"},{"purpose":"MAILING","street_1":"622 BODART ST","city":"GREEN BAY","state":"WI","postal_code":"543014923","country_code":"US","phone":"9204379773"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"100078554","state":"WI","issuer":null},{"type_code":"05","label":"Medicaid","value":"32957300","state":"WI","issuer":null},{"type_code":"05","label":"Medicaid","value":"100078454","state":"WI","issuer":null},{"type_code":"05","label":"Medicaid","value":"41860101","state":"WI","issuer":null},{"type_code":"05","label":"Medicaid","value":"100078475","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20160824000347","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"WI","pac_id":"5890912539"},{"enrlmt_id":"O20230911001899","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"WI","pac_id":"5890912539"}]},"enumeration_date":"2007-04-12","last_updated":"2024-08-21","_meta":{"source":"NPPES","snapshot_date":"2024-08-21","doc_url":"https://findmynpi.com/api"}}