{
  "npi": "1740377423",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "MARVIN",
    "authorized_official_last_name": "PRIMOS",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9109078440",
    "authorized_official_title_or_position": "UBO Manager",
    "certification_date": "2025-05-22",
    "enumeration_date": "2006-10-06",
    "last_updated": "2025-05-22",
    "organization_name": "AMC WOMACK-FT BRAGG",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "AMC WOMACK-FT BRAGG",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2817 REILLY ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FORT BRAGG",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "283107301",
      "state": "NC",
      "telephone_number": "910-907-9262"
    },
    {
      "address_1": "2817 REILLY ST",
      "address_2": "MCXC-DBO-UB WAMC STOP A",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "FORT BRAGG",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "283107301",
      "state": "NC",
      "telephone_number": "910-907-6693"
    }
  ],
  "taxonomies": [
    {
      "code": "261QM1100X",
      "desc": "Clinic/Center, MilitaryU.S. Coast Guard Outpatient",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QM1101X",
      "desc": "Clinic/Center, Military and U.S. Coast Guard Ambulatory Procedure",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "332000000X",
      "desc": "MilitaryU.S. Coast Guard Pharmacy",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "341800000X",
      "desc": "MilitaryU.S. Coast Guard Transport",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "2865M2000X",
      "desc": "Military Hospital, Military General Acute Care Hospital",
      "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": "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": "Hospitals"
      }
    ]
  }
}