{"npi":"1619955838","type":"NPI-2","status":"active","name":{"display":"Waupun Memorial Hospital","other":[],"organization_name":"WAUPUN MEMORIAL HOSPITAL","authorised_official":"Steven Little"},"specialty":{"primary_taxonomy":"261QE0700X","primary_taxonomy_description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","slug":"end-stage-renal-disease-esrd-treatment-clinic-center","schema_org_specialty":null,"all":[{"code":"261QE0700X","description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"101 S PIONEER RD","city":"FOND DU LAC","state":"WI","postal_code":"549353871","country_code":"US","phone":"9209232333","fax":"9209268885"},{"purpose":"MAILING","street_1":"PO BOX 1283","city":"FOND DU LAC","state":"WI","postal_code":"549361283","country_code":"US","phone":"9209264472","fax":"9209268885"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"42052300","state":"WI","issuer":"WI CHRONIC DISEASE PROGRA"},{"type_code":"05","label":"Medicaid","value":"42052300","state":"WI","issuer":null},{"type_code":"01","label":"Other","value":"Z3","state":"WI","issuer":"DEAN CARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120106000251","type_code":"00-03","type_desc":"PART A PROVIDER - END-STAGE RENAL DISEASE FACILITY (ESRD)","state":"WI","pac_id":"7618886565"}]},"enumeration_date":"2006-01-06","last_updated":"2022-03-12","_meta":{"source":"NPPES","snapshot_date":"2022-03-12","doc_url":"https://findmynpi.com/api"}}