{
  "npi": "1154862449",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "KAREN",
    "authorized_official_last_name": "WHITE",
    "authorized_official_middle_name": "R",
    "authorized_official_telephone_number": "5736632313",
    "authorized_official_title_or_position": "CEO",
    "certification_date": "2026-11-05",
    "enumeration_date": "2017-03-20",
    "last_updated": "2026-11-05",
    "organization_name": "BIG SPRINGS MEDICAL ASSOCIATION",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "BIG SPRINGS MEDICAL ASSOCIATION",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "110 S 2ND ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ELLINGTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "573-663-2441",
      "postal_code": "636389400",
      "state": "MO",
      "telephone_number": "573-663-2313"
    },
    {
      "address_1": "315 W MULBERRY STE B",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PILOT KNOB",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "573-546-1002",
      "postal_code": "636637883",
      "state": "MO",
      "telephone_number": "573-546-1001"
    }
  ],
  "taxonomies": [
    {
      "code": "261QF0400X",
      "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
      "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 Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "B4[14]",
        "medicare_type": "Federally Qualified Health Center"
      }
    ]
  }
}