{"npi":"1790711273","type":"NPI-2","status":"active","name":{"display":"Mississippi Methodist Hospital & Rehabilitation Center, Inc.","other":[],"organization_name":"MISSISSIPPI METHODIST HOSPITAL & REHABILITATION CENTER, INC.","authorised_official":"Gary Armstrong"},"specialty":{"primary_taxonomy":"208100000X","primary_taxonomy_description":"Physical Medicine & Rehabilitation","slug":"physical-medicine-rehabilitation","schema_org_specialty":"Musculoskeletal","all":[{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":true,"state":"MS","license":"43-278"}]},"addresses":[{"purpose":"LOCATION","street_1":"1350 E WOODROW WILSON AVE","city":"JACKSON","state":"MS","postal_code":"392165112","country_code":"US","phone":"6019812611","fax":"6013645369"},{"purpose":"MAILING","street_1":"1350 E WOODROW WILSON AVE","city":"JACKSON","state":"MS","postal_code":"392165112","country_code":"US","phone":"6019812611","fax":"6013645369"}],"license":{"state":"MS","number":"43-278"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"08420277","state":"MS","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20051005001042","type_code":"12-Z1","type_desc":"PART B SUPPLIER - HOSPITAL DEPARTMENT(S)","state":"MS","pac_id":"8921912270"}]},"enumeration_date":"2006-06-25","last_updated":"2010-10-15","_meta":{"source":"NPPES","snapshot_date":"2010-10-15","doc_url":"https://findmynpi.com/api"}}