{"npi":"1508047630","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":"261Q00000X","description":"Clinic/Center","primary":false,"state":null,"license":null},{"code":"282NR1301X","description":"Rural Acute Care Hospital","primary":true,"state":"PA","license":"090701"}]},"addresses":[{"purpose":"LOCATION","street_1":"1265 WAYNE AVE BLDG SUITE201","city":"INDIANA","state":"PA","postal_code":"157013501","country_code":"US","street_2":"CENTER FOR WOUND HEALING","phone":"7243577008","fax":"7243577414"},{"purpose":"MAILING","street_1":"PO BOX 788","city":"INDIANA","state":"PA","postal_code":"157010788","country_code":"US","street_2":"835 HOSPITAL ROAD","phone":"7243577008","fax":"7243577414"}],"license":{"state":"PA","number":"090701"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1007713530032","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"000068","state":"PA","issuer":"HIGHMARK"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-11-16","last_updated":"2024-07-10","_meta":{"source":"NPPES","snapshot_date":"2024-07-10","doc_url":"https://findmynpi.com/api"}}