{
  "npi": "1053983908",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "HOLLIE",
    "authorized_official_last_name": "HARRIS",
    "authorized_official_middle_name": "P",
    "authorized_official_name_prefix": "Ms.",
    "authorized_official_telephone_number": "8592262511",
    "authorized_official_title_or_position": "President and CEO",
    "certification_date": "2025-04-29",
    "enumeration_date": "2021-07-12",
    "last_updated": "2025-04-29",
    "organization_name": "ARH MARY BRECKINRIDGE HEALTH SERVICES, INC.",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "APPALACHIAN REGIONAL HELATHCARE, INC.",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1317 CUMBERLAND FALLS HWY",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CORBIN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "606-523-3895",
      "postal_code": "407012720",
      "state": "KY",
      "telephone_number": "606-620-4153"
    },
    {
      "address_1": "100 AIRPORT GARDENS RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "HAZARD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "606-439-6927",
      "postal_code": "417019529",
      "state": "KY",
      "telephone_number": "606-216-5145"
    }
  ],
  "taxonomies": [
    {
      "code": "261QM1300X",
      "desc": "Clinic/Center, Multi-Specialty",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "363L00000X",
      "desc": "Nurse Practitioner",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "70",
        "medicare_type": "Clinic or Group Practice"
      }
    ]
  }
}