{"npi":"1972575595","type":"NPI-2","status":"active","name":{"display":"Medical Clinic LLC","other":[],"organization_name":"MEDICAL CLINIC LLC","authorised_official":"Cristin Hendrickson"},"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":"1219 MAIN ST","city":"HAMBURG","state":"IA","postal_code":"516401300","country_code":"US","phone":"7123822626"},{"purpose":"MAILING","street_1":"1219 MAIN ST","city":"HAMBURG","state":"IA","postal_code":"516401300","country_code":"US","phone":"7123822626"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"0018507","state":"IA","issuer":null},{"type_code":"01","label":"Other","value":"01850","state":null,"issuer":"WELLMARK BC/BS OF IA"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100910000422","type_code":"00-17","type_desc":"PART A PROVIDER - RURAL HEALTH CLINIC","state":"IA","pac_id":"5395634216"}]},"enumeration_date":"2006-02-07","last_updated":"2024-08-12","_meta":{"source":"NPPES","snapshot_date":"2024-08-12","doc_url":"https://findmynpi.com/api"}}