{
  "npi": "1174514103",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "BLAINE",
    "authorized_official_last_name": "WERNER",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9209949817",
    "authorized_official_title_or_position": "EMS Director",
    "enumeration_date": "2005-10-31",
    "last_updated": "2020-08-22",
    "organization_name": "RANDOM LAKE FIRE DEPARTMENT",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "718 N SPRING ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "RANDOM LAKE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "920-994-2678",
      "postal_code": "530751725",
      "state": "WI",
      "telephone_number": "920-994-9817"
    },
    {
      "address_1": "718 N SPRING ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "RANDOM LAKE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "920-994-2678",
      "postal_code": "530751725",
      "state": "WI",
      "telephone_number": "920-994-9817"
    }
  ],
  "taxonomies": [
    {
      "code": "3416L0300X",
      "desc": "Ambulance, Land Transport",
      "license": "60-01170",
      "primary": true,
      "state": "WI",
      "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": {
    "total_beneficiaries": "45",
    "total_services": "1375.3",
    "total_medicare_allowed_amt": "42215.05",
    "top_hcpcs_services": [
      {
        "code": "A0425",
        "description": "Ground mileage, per statute mile",
        "services": "1310.3",
        "beneficiaries": "44"
      },
      {
        "code": "A0427",
        "description": "Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)",
        "services": "38",
        "beneficiaries": "30"
      },
      {
        "code": "A0429",
        "description": "Ambulance service, basic life support, emergency transport (bls-emergency)",
        "services": "27",
        "beneficiaries": "20"
      }
    ]
  },
  "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"
      }
    ]
  }
}