{"npi":"1831212281","type":"NPI-2","status":"active","name":{"display":"Pueblo Pintado Health Center","other":[],"organization_name":"PUEBLO PINTADO HEALTH CENTER","authorised_official":"Stacy Williams"},"specialty":{"primary_taxonomy":"3336C0002X","primary_taxonomy_description":"Clinic Pharmacy","slug":"clinic-pharmacy","schema_org_specialty":null,"all":[{"code":"3336C0002X","description":"Clinic Pharmacy","primary":true,"state":"NM","license":"AU4720846"}]},"addresses":[{"purpose":"LOCATION","street_1":"HWY 371 ROUTE 9","city":"CROWNPOINT","state":"NM","postal_code":"873130358","country_code":"US","phone":"5057866344","fax":"5057866440"},{"purpose":"MAILING","street_1":"PO BOX 358","city":"CROWNPOINT","state":"NM","postal_code":"873130358","country_code":"US","phone":"5057866344","fax":"5057866440"}],"license":{"state":"NM","number":"AU4720846"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"021189","state":"AZ","issuer":null},{"type_code":"05","label":"Medicaid","value":"47209","state":"NM","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-04-09","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}