{"npi":"1720585284","type":"NPI-2","status":"active","name":{"display":"Bluewater Healthcare PA LLC","other":[],"organization_name":"BLUEWATER HEALTHCARE PA LLC","authorised_official":"Michael Riggins"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1221 GLENWOOD DR","city":"WEST MONROE","state":"LA","postal_code":"712915539","country_code":"US","phone":"3183660125"},{"purpose":"MAILING","street_1":"PO BOX 2898","city":"WEST MONROE","state":"LA","postal_code":"712942898","country_code":"US","phone":"3183660125","fax":"3186547466"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2018-04-11","last_updated":"2024-07-02","_meta":{"source":"NPPES","snapshot_date":"2024-07-02","doc_url":"https://findmynpi.com/api"}}