{
  "npi": "1104814169",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "RAY",
    "authorized_official_last_name": "SHOEMAKER",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6622856235",
    "authorized_official_title_or_position": "Administrator",
    "enumeration_date": "2005-10-12",
    "last_updated": "2008-07-09",
    "organization_name": "BRANDYWINE HEALTH SERVICES OF MISSISSIPPI, INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 1039",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ACKERMAN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "662-285-2516",
      "postal_code": "397351039",
      "state": "MS",
      "telephone_number": "662-285-6235"
    },
    {
      "address_1": "311 E CHERRY ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ACKERMAN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "662-285-2516",
      "postal_code": "397359795",
      "state": "MS",
      "telephone_number": "662-285-6235"
    }
  ],
  "taxonomies": [
    {
      "code": "282NC0060X",
      "desc": "General Acute Care Hospital, Critical Access",
      "license": null,
      "primary": true,
      "state": null,
      "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": "Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)",
    "certifying_board": "The Joint Commission (TJC) / CMS Conditions of Participation (CoP)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "A0[7]",
        "medicare_type": "Critical Access Hospital"
      }
    ]
  }
}