{
  "npi": "1275730160",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "T",
    "authorized_official_last_name": "KILLINGSWORTH",
    "authorized_official_middle_name": "J",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4176815248",
    "authorized_official_title_or_position": "Billing Office Supervisor",
    "enumeration_date": "2007-07-02",
    "last_updated": "2015-05-20",
    "organization_name": "BARTON COUNTY MEMORIAL HOSPITAL",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "BARTON COUNTY MEMORIAL HOSPITAL",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "29 NW 1ST LN",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LAMAR",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "417-681-5514",
      "postal_code": "647598105",
      "state": "MO",
      "telephone_number": "417-681-5284"
    },
    {
      "address_1": "29 NW 1ST LN",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LAMAR",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "417-681-5514",
      "postal_code": "647598105",
      "state": "MO",
      "telephone_number": "417-681-5284"
    }
  ],
  "taxonomies": [
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": "101370",
      "primary": false,
      "state": "MO",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207RR0500X",
      "desc": "Internal Medicine, Rheumatology",
      "license": "R3B59",
      "primary": false,
      "state": "MO",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207RR0500X",
      "desc": "Internal Medicine, Rheumatology",
      "license": "114482",
      "primary": false,
      "state": "MO",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207V00000X",
      "desc": "Obstetrics & Gynecology",
      "license": "105928",
      "primary": false,
      "state": "MO",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207V00000X",
      "desc": "Obstetrics & Gynecology",
      "license": "106158",
      "primary": false,
      "state": "MO",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "2084N0400X",
      "desc": "Psychiatry & Neurology, Neurology",
      "license": "100303",
      "primary": false,
      "state": "MO",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "363LF0000X",
      "desc": "Nurse Practitioner, Family",
      "license": "F0497088",
      "primary": false,
      "state": "MO",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "261QR1300X",
      "desc": "Clinic/Center, Rural Health",
      "license": "268648",
      "primary": true,
      "state": "MO",
      "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"
      }
    ]
  }
}