{
  "npi": "1598019341",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "ROLAND",
    "authorized_official_last_name": "GARDNER",
    "authorized_official_middle_name": "J",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "8439877400",
    "authorized_official_title_or_position": "Chief Executive Officer",
    "enumeration_date": "2012-11-01",
    "last_updated": "2016-08-08",
    "organization_name": "BEAUFORT JASPER HAMPTON COMPREHENSIVE HEALTH SERVICES, INC.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "721 N OKATIE HWY # 170",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "RIDGELAND",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "843-987-7498",
      "postal_code": "299368276",
      "state": "SC",
      "telephone_number": "843-987-7400"
    },
    {
      "address_1": "776 2ND ST E",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ESTILL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "803-625-2801",
      "postal_code": "299184926",
      "state": "SC",
      "telephone_number": "803-625-2548"
    }
  ],
  "taxonomies": [
    {
      "code": "261QC1500X",
      "desc": "Clinic/Center, Community Health",
      "license": "GP2554",
      "primary": false,
      "state": "SC",
      "taxonomy_group": ""
    },
    {
      "code": "261QD0000X",
      "desc": "Clinic/Center, Dental",
      "license": "295441",
      "primary": false,
      "state": "SC",
      "taxonomy_group": ""
    },
    {
      "code": "261QM2500X",
      "desc": "Clinic/Center, Medical Specialty",
      "license": "FQC101",
      "primary": false,
      "state": "SC",
      "taxonomy_group": ""
    },
    {
      "code": "261QM2500X",
      "desc": "Clinic/Center, Medical Specialty",
      "license": "CBP005",
      "primary": false,
      "state": "SC",
      "taxonomy_group": ""
    },
    {
      "code": "261QF0400X",
      "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
      "license": "FQC101",
      "primary": true,
      "state": "SC",
      "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"
      }
    ]
  }
}