{"npi":"1912100983","type":"NPI-2","status":"active","name":{"display":"Branch Medical Clinic Edson Range","other":[],"organization_name":"BRANCH MEDICAL CLINIC EDSON RANGE","authorised_official":"William Condon"},"specialty":{"primary_taxonomy":"261QM1100X","primary_taxonomy_description":"Military/U.S. Coast Guard Outpatient Clinic/Center","slug":"military-u-s-coast-guard-outpatient-clinic-center","schema_org_specialty":null,"all":[{"code":"261QM1100X","description":"Military/U.S. Coast Guard Outpatient Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"STUART MESA RD, BLDG 310514","city":"CAMP PENDLETON","state":"CA","postal_code":"920555191","country_code":"US","street_2":"BOX 555191","phone":"7607251621","fax":"7607251661"},{"purpose":"MAILING","street_1":"PO BOX 555191","city":"CAMP PENDLETON","state":"CA","postal_code":"920555191","country_code":"US","street_2":"FIN MGMT CODE 0814","phone":"7607251621","fax":"7607251661"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"1386604387","state":"CA","issuer":"PARENT FACILITY NPI"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-06-07","last_updated":"2017-10-16","_meta":{"source":"NPPES","snapshot_date":"2017-10-16","doc_url":"https://findmynpi.com/api"}}