{"npi":"1801815733","type":"NPI-2","status":"active","name":{"display":"Medical Associates Of Glen Daniel","other":[],"organization_name":"MEDICAL ASSOCIATES OF GLEN DANIEL","authorised_official":"Jose Gordinho"},"specialty":{"primary_taxonomy":"261QR1300X","primary_taxonomy_description":"Rural Health Clinic/Center","slug":"rural-health-clinic-center","schema_org_specialty":null,"all":[{"code":"261QR1300X","description":"Rural Health Clinic/Center","primary":true,"state":"WV","license":"PENDING"}]},"addresses":[{"purpose":"LOCATION","street_1":"109 BOLT ROAD","city":"GLEN DANIEL","state":"WV","postal_code":"25844","country_code":"US","phone":"3049345125"},{"purpose":"MAILING","street_1":"310 GEORGE ST","city":"BECKLEY","state":"WV","postal_code":"258012653","country_code":"US","phone":"3042549022","fax":"3042549024"}],"license":{"state":"WV","number":"PENDING"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0072202000","state":"WV","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-19","last_updated":"2007-08-29","_meta":{"source":"NPPES","snapshot_date":"2007-08-29","doc_url":"https://findmynpi.com/api"}}