{"npi":"1558495010","type":"NPI-2","status":"active","name":{"display":"Alliance Clinic, LLC","other":[],"organization_name":"ALLIANCE CLINIC, LLC","authorised_official":"Jay Higham"},"specialty":{"primary_taxonomy":"302R00000X","primary_taxonomy_description":"Health Maintenance Organization","slug":"health-maintenance-organization","schema_org_specialty":null,"all":[{"code":"324500000X","description":"Substance Abuse Rehabilitation Facility","primary":false,"state":"MN","license":"1009916-2-CDT"},{"code":"302R00000X","description":"Health Maintenance Organization","primary":true,"state":"MN","license":"1009916"}]},"addresses":[{"purpose":"LOCATION","street_1":"3329 UNIVERSITY AVE SE","city":"MINNEAPOLIS","state":"MN","postal_code":"554143325","country_code":"US","phone":"6126382260","fax":"6126382340"},{"purpose":"MAILING","street_1":"550 MAIN ST","city":"NEW BRIGHTON","state":"MN","postal_code":"55112","country_code":"US","street_2":"#230","phone":"6123267600","fax":"6123267549"}],"license":{"state":"MN","number":"1009916"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20200109000020","type_code":"12-D5","type_desc":"PART B SUPPLIER - OPIOID TREATMENT PROGRAM (OTP)","state":"MN","pac_id":"9133554777"}]},"enumeration_date":"2007-03-15","last_updated":"2024-12-26","_meta":{"source":"NPPES","snapshot_date":"2024-12-26","doc_url":"https://findmynpi.com/api"}}