{"npi":"1518342153","type":"NPI-2","status":"active","name":{"display":"Douglas County Public Health Services Group, Inc.","other":[],"organization_name":"DOUGLAS COUNTY PUBLIC HEALTH SERVICES GROUP, INC.","authorised_official":"Tim Shryack"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1604 C. NORTH MAIN STREET","city":"MOUNTAIN GROVE","state":"MO","postal_code":"65711","country_code":"US","phone":"4179261713","fax":"4179261209"},{"purpose":"MAILING","street_1":"PO BOX 1359","city":"AVA","state":"MO","postal_code":"656081359","country_code":"US","phone":"4176834831"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150828000981","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"MO","pac_id":"3072423052"}]},"enumeration_date":"2015-07-24","last_updated":"2015-09-02","_meta":{"source":"NPPES","snapshot_date":"2015-09-02","doc_url":"https://findmynpi.com/api"}}