{
  "npi": "1699989350",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "RENEE",
    "authorized_official_last_name": "MEYER",
    "authorized_official_middle_name": "MARIE",
    "authorized_official_telephone_number": "4173286258",
    "authorized_official_title_or_position": "CFO",
    "certification_date": "2025-10-21",
    "enumeration_date": "2007-05-10",
    "last_updated": "2025-10-21",
    "organization_name": "CITIZENS MEMORIAL HEALTHCARE",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "CITIZENS MEMORIAL HOSPITAL DISTRICT",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1500 N OAKLAND AVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BOLIVAR",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "656133011",
      "state": "MO"
    },
    {
      "address_1": "105 N. GRAND ST.",
      "address_2": "SUITE 2",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "GREENFIELD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "417-637-5124",
      "postal_code": "656610367",
      "state": "MO",
      "telephone_number": "417-637-5133"
    }
  ],
  "taxonomies": [
    {
      "code": "261QP2300X",
      "desc": "Clinic/Center, Primary Care",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QR1300X",
      "desc": "Clinic/Center, Rural Health",
      "license": null,
      "primary": true,
      "state": null,
      "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": "Rural Health Clinic"
      }
    ]
  }
}