{
  "npi": "1073750766",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "AMY",
    "authorized_official_last_name": "TAYLOR",
    "authorized_official_telephone_number": "3156767724",
    "authorized_official_title_or_position": "President",
    "certification_date": "2025-12-04",
    "enumeration_date": "2009-01-16",
    "last_updated": "2025-12-04",
    "organization_name": "BREWERTON VOLUNTEER FIRE DEPARTMENT AMBULANCE INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 535",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BALDWINSVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "315-635-3289",
      "postal_code": "130270535",
      "state": "NY",
      "telephone_number": "315-635-1789"
    },
    {
      "address_1": "9625 BREWERTON RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BREWERTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "315-428-8648",
      "postal_code": "130290708",
      "state": "NY",
      "telephone_number": "315-668-9789"
    }
  ],
  "taxonomies": [
    {
      "code": "3416L0300X",
      "desc": "Ambulance, Land Transport",
      "license": "31865",
      "primary": true,
      "state": "NY",
      "taxonomy_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 Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance",
    "certifying_board": "State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "59",
        "medicare_type": "Ambulance Service Provider"
      }
    ]
  }
}