{
  "npi": "1508263369",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "DONNA",
    "authorized_official_last_name": "WELLS",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7748261257",
    "authorized_official_title_or_position": "Human Resources",
    "enumeration_date": "2014-11-21",
    "last_updated": "2022-07-21",
    "organization_name": "BOSTON VA HEALTHCARE SYSTEM",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "940 BELMONT ST",
      "address_2": "BOSTON HEALTHCARE SYSTEM",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BROCKTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "02301",
      "state": "MA",
      "telephone_number": "774-826-1257"
    },
    {
      "address_1": "940 BELMONT ST",
      "address_2": "BOSTON HEALTHCARE SYSTEM",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BROCKTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "02301",
      "state": "MA",
      "telephone_number": "774-826-1257"
    }
  ],
  "taxonomies": [
    {
      "code": "273Y00000X",
      "desc": "Rehabilitation Unit",
      "license": "A",
      "primary": false,
      "state": "MA",
      "taxonomy_group": ""
    },
    {
      "code": "2865M2000X",
      "desc": "Military Hospital, Military General Acute Care Hospital",
      "license": "A",
      "primary": false,
      "state": "MA",
      "taxonomy_group": ""
    },
    {
      "code": "2865X1600X",
      "desc": "Military Hospital, Military General Acute Care Hospital. Operational (Transportable)",
      "license": "A",
      "primary": false,
      "state": "MA",
      "taxonomy_group": ""
    },
    {
      "code": "314000000X",
      "desc": "Skilled Nursing Facility",
      "license": "A",
      "primary": false,
      "state": "MA",
      "taxonomy_group": ""
    },
    {
      "code": "286500000X",
      "desc": "Military Hospital",
      "license": "A",
      "primary": true,
      "state": "MA",
      "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 & Credentialed Hospitals — Military Hospital",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "A0[7]",
        "medicare_type": "Hospitals"
      }
    ]
  }
}