{"npi":"1659328821","type":"NPI-2","status":"active","name":{"display":"State Of Wyoming","other":[],"organization_name":"STATE OF WYOMING","authorised_official":"Marla Taylor-Thomas"},"specialty":{"primary_taxonomy":"314000000X","primary_taxonomy_description":"Skilled Nursing Facility","slug":"skilled-nursing-facility","schema_org_specialty":null,"all":[{"code":"314000000X","description":"Skilled Nursing Facility","primary":true,"state":"WY","license":"06-107"}]},"addresses":[{"purpose":"LOCATION","street_1":"890 HIGHWAY 20 S","city":"BASIN","state":"WY","postal_code":"824109587","country_code":"US","phone":"3075682431","fax":"3075683887"},{"purpose":"MAILING","street_1":"890 HIGHWAY 20 S","city":"BASIN","state":"WY","postal_code":"824109587","country_code":"US","phone":"3075682431","fax":"3075683887"}],"license":{"state":"WY","number":"06-107"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100176100","state":"WY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080925000220","type_code":"00-18","type_desc":"PART A PROVIDER - SKILLED NURSING FACILITY","state":"WY","pac_id":"4587552583"}]},"enumeration_date":"2006-05-31","last_updated":"2025-03-10","_meta":{"source":"NPPES","snapshot_date":"2025-03-10","doc_url":"https://findmynpi.com/api"}}