{
  "npi": "1205819646",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "ALLEN",
    "authorized_official_last_name": "PARRIS",
    "authorized_official_telephone_number": "2766288470",
    "authorized_official_title_or_position": "VP of Operations",
    "certification_date": "2025-12-17",
    "enumeration_date": "2005-11-21",
    "last_updated": "2025-12-17",
    "organization_name": "ABINGDON CONVALESCENT AMBULANCE SERVICE INCORPORATED",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "26165 LEE HWY",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ABINGDON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "276-525-1654",
      "postal_code": "242117502",
      "state": "VA",
      "telephone_number": "276-623-8296"
    },
    {
      "address_1": "618 CAMPUS DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ABINGDON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "276-623-4293",
      "postal_code": "242109699",
      "state": "VA",
      "telephone_number": "276-628-8470"
    }
  ],
  "taxonomies": [
    {
      "code": "3416L0300X",
      "desc": "Ambulance, Land Transport",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "343900000X",
      "desc": "Non-emergency Medical Transport (VAN)",
      "license": "17089",
      "primary": false,
      "state": "VA",
      "taxonomy_group": ""
    },
    {
      "code": "344600000X",
      "desc": "Taxi",
      "license": "17089",
      "primary": false,
      "state": "VA",
      "taxonomy_group": ""
    },
    {
      "code": "341600000X",
      "desc": "Ambulance",
      "license": "438",
      "primary": true,
      "state": "VA",
      "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"
      }
    ]
  }
}