{
  "npi": "1336460948",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "DANA",
    "authorized_official_last_name": "S",
    "authorized_official_telephone_number": "3055877375",
    "authorized_official_title_or_position": "CFO",
    "certification_date": "2026-10-12",
    "enumeration_date": "2010-06-17",
    "last_updated": "2026-10-12",
    "organization_name": "EAU CLAIRE COOPERTIVE HEALTH CENTER, INC.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 3788",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "COLUMBIA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "803-753-5591",
      "postal_code": "292303788",
      "state": "SC",
      "telephone_number": "803-733-5969"
    },
    {
      "address_1": "338 E COLUMBIA AVE",
      "address_2": "SUITE B",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LEESVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "803-532-3832",
      "postal_code": "290709285",
      "state": "SC",
      "telephone_number": "803-532-1580"
    }
  ],
  "taxonomies": [
    {
      "code": "261QF0400X",
      "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
      "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": "Federally Qualified Health Center"
      }
    ]
  }
}