{
  "npi": "1669441564",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "ELIZABETH",
    "authorized_official_last_name": "LATHAM",
    "authorized_official_middle_name": "G",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9286459675",
    "authorized_official_title_or_position": "CEO",
    "certification_date": "2021-09-23",
    "enumeration_date": "2006-03-15",
    "last_updated": "2021-09-23",
    "organization_name": "CANYONLANDS COMMUNITY HEALTH CARE",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "CANYONDLANDS COMMUNITY HEALTH CARE",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 1625",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PAGE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "928-645-3030",
      "postal_code": "860401625",
      "state": "AZ",
      "telephone_number": "928-645-9675"
    },
    {
      "address_1": "440 NORTH NAVAJO DRIVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PAGE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "928-645-1701",
      "postal_code": "860401625",
      "state": "AZ",
      "telephone_number": "928-645-1700"
    }
  ],
  "taxonomies": [
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty Group"
    },
    {
      "code": "261QC1500X",
      "desc": "Clinic/Center, Community Health",
      "license": "OTC 3854 - DOH",
      "primary": true,
      "state": "AZ",
      "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": []
  }
}