{
  "npi": "1396338224",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "ADAMASTOR",
    "authorized_official_last_name": "SANTOS",
    "authorized_official_middle_name": "A",
    "authorized_official_telephone_number": "3526932340",
    "authorized_official_title_or_position": "OWNER",
    "certification_date": "2021-02-11",
    "enumeration_date": "2021-02-11",
    "last_updated": "2021-02-11",
    "organization_name": "441 URGENT CARE CENTER, LLC",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "441 URGENT CARE CENTER, LLC",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "17820 SE 109TH AVE STE 108",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SUMMERFIELD",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "344918968",
      "state": "FL",
      "telephone_number": "352-693-2340"
    },
    {
      "address_1": "8489 SE 165TH MULBERRY LN",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "THE VILLAGES",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "352-693-2345",
      "postal_code": "321625847",
      "state": "FL",
      "telephone_number": "352-693-2340"
    }
  ],
  "taxonomies": [
    {
      "code": "261QU0200X",
      "desc": "Clinic/Center, Urgent Care",
      "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": []
  }
}