{"npi":"1639458672","type":"NPI-2","status":"active","name":{"display":"Caresouth Carolina INC","other":[],"organization_name":"CARESOUTH CAROLINA INC","authorised_official":"Ann Lewis"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"208000000X","description":"Pediatrics","primary":false,"state":null,"license":null},{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"210 W MAIN ST","city":"BENNETTSVILLE","state":"SC","postal_code":"295123122","country_code":"US","phone":"8434791200","fax":"8434791230"},{"purpose":"MAILING","street_1":"PO BOX 1090","city":"HARTSVILLE","state":"SC","postal_code":"295511090","country_code":"US","phone":"8438570111"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"FQC093","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20110923000018","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"SC","pac_id":"1052221314"}]},"enumeration_date":"2011-08-09","last_updated":"2012-03-21","_meta":{"source":"NPPES","snapshot_date":"2012-03-21","doc_url":"https://findmynpi.com/api"}}