{
  "npi": "1144703372",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "RN BSN",
    "authorized_official_first_name": "TIFFANY",
    "authorized_official_last_name": "ANGELO",
    "authorized_official_telephone_number": "2174523057",
    "authorized_official_title_or_position": "Administrator",
    "certification_date": "2025-10-08",
    "enumeration_date": "2018-09-13",
    "last_updated": "2025-10-08",
    "organization_name": "CASS COUNTY PUBLIC HEALTH DEPT",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "CASS COUNTY PUBLIC HEALTH DEPT",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "331 S MAIN ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "VIRGINIA",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "626911571",
      "state": "IL",
      "telephone_number": "217-452-3057"
    },
    {
      "address_1": "1501 WALL ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BEARDSTOWN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "626182303",
      "state": "IL",
      "telephone_number": "217-323-2242"
    }
  ],
  "taxonomies": [
    {
      "code": "261QF0400X",
      "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "251B00000X",
      "desc": "Case Management",
      "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": "Licensed & Credentialed Case Management",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}