{
  "npi": "1225059587",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "paramedic",
    "authorized_official_first_name": "DALLAS",
    "authorized_official_last_name": "HYDE",
    "authorized_official_middle_name": "LEE",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "I",
    "authorized_official_telephone_number": "2316279348",
    "authorized_official_title_or_position": "director of CLSS",
    "enumeration_date": "2006-07-22",
    "last_updated": "2020-08-22",
    "organization_name": "CHEBOYGAN LIFE SUPPORT SYSTEMS INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "536 RIGGS DR",
      "address_2": "P.O. BOX 105",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CHEBOYGAN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "231-627-1658",
      "postal_code": "497211063",
      "state": "MI",
      "telephone_number": "231-627-9348"
    },
    {
      "address_1": "536 RIGGS DR",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CHEBOYGAN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "231-627-1658",
      "postal_code": "497211063",
      "state": "MI",
      "telephone_number": "231-627-9348"
    }
  ],
  "taxonomies": [
    {
      "code": "3416L0300X",
      "desc": "Ambulance, Land Transport",
      "license": "161003",
      "primary": true,
      "state": "MI",
      "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": "911",
    "total_services": "51132.9",
    "total_medicare_allowed_amt": "1245619.91",
    "top_hcpcs_services": [
      {
        "code": "A0425",
        "description": "Ground mileage, per statute mile",
        "services": "49612.9",
        "beneficiaries": "910"
      },
      {
        "code": "A0426",
        "description": "Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)",
        "services": "203",
        "beneficiaries": "191"
      },
      {
        "code": "A0427",
        "description": "Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)",
        "services": "808",
        "beneficiaries": "582"
      },
      {
        "code": "A0428",
        "description": "Ambulance service, basic life support, non-emergency transport, (bls)",
        "services": "210",
        "beneficiaries": "163"
      },
      {
        "code": "A0429",
        "description": "Ambulance service, basic life support, emergency transport (bls-emergency)",
        "services": "251",
        "beneficiaries": "189"
      },
      {
        "code": "A0434",
        "description": "Specialty care transport (sct)",
        "services": "40",
        "beneficiaries": "40"
      }
    ]
  },
  "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"
      }
    ]
  }
}