{"npi":"1821366071","type":"NPI-2","status":"active","name":{"display":"Centennial Medical Group East, LLC","other":[],"organization_name":"CENTENNIAL MEDICAL GROUP EAST, LLC","authorised_official":"Jason Gray"},"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":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"2570 NW EDENBOWER BLVD","city":"ROSEBURG","state":"OR","postal_code":"974716214","country_code":"US","phone":"5416777200","fax":"5412293309"},{"purpose":"MAILING","street_1":"2570 NW EDENBOWER BLVD","city":"ROSEBURG","state":"OR","postal_code":"974716214","country_code":"US","phone":"5416777200","fax":"5412293309"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120328000411","type_code":"00-17","type_desc":"PART A PROVIDER - RURAL HEALTH CLINIC","state":"OR","pac_id":"9234397878"}]},"enumeration_date":"2011-12-02","last_updated":"2013-02-06","_meta":{"source":"NPPES","snapshot_date":"2013-02-06","doc_url":"https://findmynpi.com/api"}}