{
  "npi": "1508978677",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "LISA",
    "authorized_official_last_name": "CARLSON",
    "authorized_official_middle_name": "M",
    "authorized_official_telephone_number": "7407797582",
    "authorized_official_title_or_position": "CFO",
    "certification_date": "2021-06-02",
    "enumeration_date": "2006-08-31",
    "last_updated": "2021-06-02",
    "organization_name": "ADENA FAYETTE MEDICAL CENTER",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1430 COLUMBUS AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WASHINGTON COURT HOUSE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "740-333-2998",
      "postal_code": "431601703",
      "state": "OH",
      "telephone_number": "740-333-2705"
    },
    {
      "address_1": "1450 COLUMBUS AVE",
      "address_2": "SUITE B 6-7-8",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WASHINGTON COURT HOUSE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "740-333-3881",
      "postal_code": "431603701",
      "state": "OH",
      "telephone_number": "740-333-2236"
    }
  ],
  "taxonomies": [
    {
      "code": "275N00000X",
      "desc": "Medicare Defined Swing Bed Unit",
      "license": "1168",
      "primary": false,
      "state": "OH",
      "taxonomy_group": ""
    },
    {
      "code": "282NC0060X",
      "desc": "General Acute Care Hospital, Critical Access",
      "license": "1168",
      "primary": true,
      "state": "OH",
      "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": "Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)",
    "certifying_board": "The Joint Commission (TJC) / CMS Conditions of Participation (CoP)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "A0[7]",
        "medicare_type": "Critical Access Hospital"
      }
    ]
  }
}