{
  "npi": "1689189110",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "TAMMY",
    "authorized_official_last_name": "THOMPSON",
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    "authorized_official_telephone_number": "2092487851",
    "authorized_official_title_or_position": "VP Finance",
    "certification_date": "2020-01-28",
    "enumeration_date": "2017-12-06",
    "last_updated": "2020-01-28",
    "organization_name": "COLUSA MEDICAL CENTER, LLC",
    "organizational_subpart": "NO",
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      "address_1": "199 E WEBSTER ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "COLUSA",
      "country_code": "US",
      "country_name": "United States",
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      "postal_code": "959322954",
      "state": "CA",
      "telephone_number": "530-619-0800"
    },
    {
      "address_1": "700 17TH ST STE 201D",
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      "address_type": "DOM",
      "city": "MODESTO",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "953541249",
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      "primary": false,
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    },
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      "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 Agencies — Hospice Care, Community Based",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "B4[14]",
        "medicare_type": "Hospice"
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}