{"npi":"1760499545","type":"NPI-2","status":"active","name":{"display":"Erie Family Health Center, INC","other":[],"organization_name":"ERIE FAMILY HEALTH CENTER, INC","authorised_official":"Lee Francis"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1701 W SUPERIOR ST","city":"CHICAGO","state":"IL","postal_code":"606225646","country_code":"US","phone":"3124327394"},{"purpose":"MAILING","street_1":"1701 W SUPERIOR ST","city":"CHICAGO","state":"IL","postal_code":"606225646","country_code":"US","street_2":"3RD FLOOR","phone":"3124327394"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"1616827","state":"IL","issuer":"BLUE CROSS BLUE SHIELD PROVIDER NUMBER"},{"type_code":"01","label":"Other","value":"748480","state":"IL","issuer":"MEDICARE PART B"},{"type_code":"01","label":"Other","value":"F100260003","state":"WI","issuer":"MEDICARE PART B PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040322000689","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"9537050422"},{"enrlmt_id":"O20080923000396","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"IL","pac_id":"9537050422"}]},"enumeration_date":"2006-08-02","last_updated":"2020-11-02","_meta":{"source":"NPPES","snapshot_date":"2020-11-02","doc_url":"https://findmynpi.com/api"}}