{
  "npi": "1265127591",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "MONYA",
    "authorized_official_last_name": "YORK",
    "authorized_official_telephone_number": "8708561202",
    "authorized_official_title_or_position": "Controller",
    "certification_date": "2024-07-23",
    "enumeration_date": "2023-04-11",
    "last_updated": "2024-07-23",
    "organization_name": "ACCESS MEDICAL CLINIC ARKANSAS LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "4196 HIGHWAY 62 412 STE A",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "HARDY",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "725428002",
      "state": "AR",
      "telephone_number": "870-856-1202"
    },
    {
      "address_1": "409 S ROGERS ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CLARKSVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "479-476-7091",
      "postal_code": "728303743",
      "state": "AR",
      "telephone_number": "479-746-7090"
    }
  ],
  "taxonomies": [
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty Group"
    },
    {
      "code": "261QR1300X",
      "desc": "Clinic/Center, Rural Health",
      "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": "Rural Health Clinic"
      }
    ]
  }
}