{
  "npi": "1356563563",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "KIMBER",
    "authorized_official_last_name": "BROWNE",
    "authorized_official_middle_name": "L",
    "authorized_official_telephone_number": "6182826233",
    "authorized_official_title_or_position": "Director of Finance",
    "certification_date": "2021-02-03",
    "enumeration_date": "2007-05-03",
    "last_updated": "2021-02-03",
    "organization_name": "COMWELL",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2517 STATE ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CHESTER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "618-282-6220",
      "postal_code": "622331149",
      "state": "IL",
      "telephone_number": "618-826-4547"
    },
    {
      "address_1": "10257 STATE ROUTE THREE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "RED BUD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "618-282-6949",
      "postal_code": "62278",
      "state": "IL",
      "telephone_number": "618-282-6233"
    }
  ],
  "taxonomies": [
    {
      "code": "261QR0405X",
      "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
      "license": "A-0280-0004-A",
      "primary": true,
      "state": "IL",
      "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": "D5",
        "medicare_type": "Opioid Treatment Program"
      }
    ]
  }
}