{"npi":"1609112739","type":"NPI-2","status":"active","name":{"display":"Grant County Public Hospital District 1","other":[],"organization_name":"GRANT COUNTY PUBLIC HOSPITAL DISTRICT 1","authorised_official":"Theresa Sullivan"},"specialty":{"primary_taxonomy":"261QR1300X","primary_taxonomy_description":"Rural Health Clinic/Center","slug":"rural-health-clinic-center","schema_org_specialty":null,"all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":null,"license":null},{"code":"261QR1300X","description":"Rural Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"8420 ASPI BLVD","city":"MOSES LAKE","state":"WA","postal_code":"988371820","country_code":"US","phone":"5097939781","fax":"5097643244"},{"purpose":"MAILING","street_1":"1616 S PIONEER WAY","city":"MOSES LAKE","state":"WA","postal_code":"988372487","country_code":"US","phone":"5097939715","fax":"5097643244"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"2028741","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20190926001711","type_code":"00-17","type_desc":"PART A PROVIDER - RURAL HEALTH CLINIC","state":"WA","pac_id":"9931095692"}]},"enumeration_date":"2012-12-18","last_updated":"2026-03-07","_meta":{"source":"NPPES","snapshot_date":"2026-03-07","doc_url":"https://findmynpi.com/api"}}