{"npi":"1740742089","type":"NPI-2","status":"active","name":{"display":"Freedom Health Vascular LLC","other":[],"organization_name":"FREEDOM HEALTH VASCULAR LLC","authorised_official":"Andrew Doyle"},"specialty":{"primary_taxonomy":"261QM1300X","primary_taxonomy_description":"Multi-Specialty Clinic/Center","slug":"multi-specialty-clinic-center","schema_org_specialty":null,"all":[{"code":"261QM1300X","description":"Multi-Specialty Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"6036 N 19TH AVE STE 204","city":"PHOENIX","state":"AZ","postal_code":"850152104","country_code":"US","phone":"4806160356","fax":"4806160603"},{"purpose":"MAILING","street_1":"DEPT#880390","city":"PHOENIX","state":"AZ","postal_code":"85038","country_code":"US","street_2":"P.O BOX 29650","phone":"4806261746","fax":"4806262690"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"598527","state":"AZ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-04-04","last_updated":"2023-12-20","_meta":{"source":"NPPES","snapshot_date":"2023-12-20","doc_url":"https://findmynpi.com/api"}}