{"npi":"1962473710","type":"NPI-2","status":"active","name":{"display":"Stevens Traverse Grant Public Health","other":[],"organization_name":"STEVENS TRAVERSE GRANT PUBLIC HEALTH","authorised_official":"Betty Windom-Kirsch"},"specialty":{"primary_taxonomy":"251K00000X","primary_taxonomy_description":"Public Health or Welfare Agency","slug":"public-health-or-welfare-agency","schema_org_specialty":null,"all":[{"code":"251K00000X","description":"Public Health or Welfare Agency","primary":true,"state":"MN","license":"328493"}]},"addresses":[{"purpose":"LOCATION","street_1":"621 PACIFIC AVENUE","city":"MORRIS","state":"MN","postal_code":"56267","country_code":"US","phone":"3205897425","fax":"3205897433"},{"purpose":"MAILING","street_1":"621 PACIFIC AVENUE","city":"MORRIS","state":"MN","postal_code":"56267","country_code":"US","phone":"3205897425","fax":"3205897433"}],"license":{"state":"MN","number":"328493"},"identifiers":[{"type_code":"01","label":"Other","value":"12745401","state":null,"issuer":"U CARE INSURANCE"},{"type_code":"01","label":"Other","value":"144J9ST","state":null,"issuer":"BCBS DME"},{"type_code":"01","label":"Other","value":"8300111","state":null,"issuer":"MEDICA INSURANCE"},{"type_code":"01","label":"Other","value":"8G534ST","state":null,"issuer":"BCBS INSURANCE"},{"type_code":"01","label":"Other","value":"01017242","state":null,"issuer":"PREFERRED ONE INSURANCE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-01-30","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}