{
  "npi": "1285930495",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "PAULA",
    "authorized_official_last_name": "LANG",
    "authorized_official_name_prefix": "Ms.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6622473831",
    "authorized_official_title_or_position": "CEO",
    "enumeration_date": "2011-02-04",
    "last_updated": "2011-02-07",
    "organization_name": "PATIENTS CHOICE MEDICAL CENTER OF HUMPHREYS COUNTY, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 510",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BELZONI",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "662-247-4114",
      "postal_code": "390380510",
      "state": "MS",
      "telephone_number": "662-247-3831"
    },
    {
      "address_1": "638 NORTHWEST AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "DURANT",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "662-653-1038",
      "postal_code": "390633337",
      "state": "MS",
      "telephone_number": "662-653-1002"
    }
  ],
  "taxonomies": [
    {
      "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"
      }
    ]
  }
}