{"npi":"1982141123","type":"NPI-2","status":"active","name":{"display":"W.A. Foote Memorial Hospital, INC","other":[],"organization_name":"W.A. FOOTE MEMORIAL HOSPITAL, INC","authorised_official":"Mark Smith"},"specialty":{"primary_taxonomy":"208VP0014X","primary_taxonomy_description":"Pain Medicine","slug":"pain-medicine","schema_org_specialty":"Anesthesia","all":[{"code":"208VP0014X","description":"Pain Medicine","primary":true,"state":"MI","license":"1060000044"}]},"addresses":[{"purpose":"LOCATION","street_1":"205 N. EAST AVE","city":"JACKSON","state":"MI","postal_code":"49201","country_code":"US","phone":"5178417843","fax":"5178417419"},{"purpose":"MAILING","street_1":"PO BOX 67000","city":"DETROIT","state":"MI","postal_code":"48267","country_code":"US","street_2":"DEPARTMENT 272801","phone":"5178417843","fax":"5178417419"}],"license":{"state":"MI","number":"1060000044"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1760437826","state":"MI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-01-26","last_updated":"2024-03-06","_meta":{"source":"NPPES","snapshot_date":"2024-03-06","doc_url":"https://findmynpi.com/api"}}