{"npi":"1982919395","type":"NPI-2","status":"active","name":{"display":"Integracare Ltd","other":[],"organization_name":"INTEGRACARE LTD","authorised_official":"Mark Halstrom"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"225100000X","description":"Physical Therapist","primary":false,"state":"MN","license":"1491"},{"code":"363L00000X","description":"Nurse Practitioner","primary":false,"state":"MN","license":"1491"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"MN","license":"1491"}]},"addresses":[{"purpose":"LOCATION","street_1":"100 SOUTH 2ND STREET","city":"SARTELL","state":"MN","postal_code":"56377","country_code":"US","phone":"3202512600","fax":"3202514763"},{"purpose":"MAILING","street_1":"100 SOUTH 2ND STREET","city":"SARTELL","state":"MN","postal_code":"56377","country_code":"US","phone":"3202512600","fax":"3202514763"}],"license":{"state":"MN","number":"1491"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"079858400","state":"MN","issuer":null},{"type_code":"01","label":"Other","value":"1219767","state":"MN","issuer":"ARAZ"},{"type_code":"01","label":"Other","value":"31T18IN","state":"MN","issuer":"CCS"},{"type_code":"01","label":"Other","value":"1770646937","state":"MN","issuer":"HUMANA"},{"type_code":"01","label":"Other","value":"169318P539","state":"MN","issuer":"UCARE"},{"type_code":"01","label":"Other","value":"1770646937","state":"MN","issuer":"TRICARE"},{"type_code":"01","label":"Other","value":"1770646937","state":"MN","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"1770646937","state":"MN","issuer":"UNITED HEALTH CARE"},{"type_code":"01","label":"Other","value":"31T18IN","state":"MN","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"CH3371","state":"MN","issuer":"RAILROAD MEDICARE"},{"type_code":"01","label":"Other","value":"1770646937","state":"MN","issuer":"PREFERRED ONE"},{"type_code":"01","label":"Other","value":"1770646937","state":"MN","issuer":"SELECT CARE"},{"type_code":"01","label":"Other","value":"1770646937","state":"MN","issuer":"MMSI"},{"type_code":"01","label":"Other","value":"9823046","state":"MN","issuer":"MEDICA"},{"type_code":"01","label":"Other","value":"1770646937","state":"MN","issuer":"UNICARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-08-10","last_updated":"2019-01-24","_meta":{"source":"NPPES","snapshot_date":"2019-01-24","doc_url":"https://findmynpi.com/api"}}