{
  "npi": "1205949773",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "TRACY",
    "authorized_official_last_name": "FAIRCHILD",
    "authorized_official_middle_name": "M",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4343329539",
    "authorized_official_title_or_position": "Director",
    "certification_date": "2023-06-14",
    "enumeration_date": "2006-08-17",
    "last_updated": "2023-06-14",
    "organization_name": "CAMPBELL COUNTY BOARD OF SUPERVISORS",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "34 COMMUNICATIONS LANE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "RUSTBURG",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "434-332-9666",
      "postal_code": "24588",
      "state": "VA",
      "telephone_number": "434-592-9539"
    },
    {
      "address_1": "PO BOX 661046",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "DALLAS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "434-332-2957",
      "postal_code": "752661046",
      "state": "TX",
      "telephone_number": "434-332-9539"
    }
  ],
  "taxonomies": [
    {
      "code": "3416L0300X",
      "desc": "Ambulance, Land Transport",
      "license": "1136",
      "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": {
    "total_beneficiaries": "1038",
    "total_services": "24246.9",
    "total_medicare_allowed_amt": "1026395.2",
    "top_hcpcs_services": [
      {
        "code": "A0425",
        "description": "Ground mileage, per statute mile",
        "services": "22615.9",
        "beneficiaries": "1038"
      },
      {
        "code": "A0427",
        "description": "Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)",
        "services": "1131",
        "beneficiaries": "813"
      },
      {
        "code": "A0429",
        "description": "Ambulance service, basic life support, emergency transport (bls-emergency)",
        "services": "431",
        "beneficiaries": "343"
      },
      {
        "code": "A0433",
        "description": "Advanced life support, level 2 (als 2)",
        "services": "69",
        "beneficiaries": "63"
      }
    ]
  },
  "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"
      }
    ]
  }
}