{"npi":"1841490612","type":"NPI-2","status":"active","name":{"display":"East Mississippi State Hospital","other":[],"organization_name":"EAST MISSISSIPPI STATE HOSPITAL","authorised_official":"Charles Carlisle"},"specialty":{"primary_taxonomy":"1223G0001X","primary_taxonomy_description":"General Practice Dentistry","slug":"general-practice-dentistry","schema_org_specialty":null,"all":[{"code":"1223G0001X","description":"General Practice Dentistry","primary":true,"state":"MS","license":"31-136"}]},"addresses":[{"purpose":"LOCATION","street_1":"1818 COLLEGE DRIVE","city":"MERIDIAN","state":"MS","postal_code":"393075429","country_code":"US","street_2":"REIMBURSEMENT DEPT.","phone":"6015817562","fax":"6015817676"},{"purpose":"MAILING","street_1":"PO BOX 4128","city":"MERIDIAN","state":"MS","postal_code":"393044128","country_code":"US","street_2":"WEST STATION","phone":"6015817562","fax":"6015817676"}],"license":{"state":"MS","number":"31-136"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"09422269","state":"MS","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-07-20","last_updated":"2020-05-12","_meta":{"source":"NPPES","snapshot_date":"2020-05-12","doc_url":"https://findmynpi.com/api"}}