{"npi":"1982905576","type":"NPI-2","status":"active","name":{"display":"East Tennessee State University","other":[],"organization_name":"EAST TENNESSEE STATE UNIVERSITY","authorised_official":"Betty King"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1134-1136 E. MAIN STREET","city":"JOHNSON CITY","state":"TN","postal_code":"37601","country_code":"US","phone":"4237220808","fax":"4239292930"},{"purpose":"MAILING","street_1":"365 STOUT DRIVE BOX 70403","city":"JOHNSON CITY","state":"TN","postal_code":"376141703","country_code":"US","phone":"4234394515","fax":"4234395780"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1522314","state":"TN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-11-12","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}