{
  "npi": "1881743540",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "EMT-B",
    "authorized_official_first_name": "DEBRA",
    "authorized_official_last_name": "WULSER",
    "authorized_official_middle_name": "K",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6604637900",
    "authorized_official_title_or_position": "Sec-Treas.",
    "enumeration_date": "2007-01-10",
    "last_updated": "2013-04-15",
    "organization_name": "CONCORDIA FIRE PROTECTION DIST INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 121",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CONCORDIA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "660-463-2770",
      "postal_code": "640200121",
      "state": "MO",
      "telephone_number": "660-463-7900"
    },
    {
      "address_1": "710 S. ORANGE ST.",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CONCORDIA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "660-463-2770",
      "postal_code": "640200121",
      "state": "MO",
      "telephone_number": "660-463-7900"
    }
  ],
  "taxonomies": [
    {
      "code": "341600000X",
      "desc": "Ambulance",
      "license": "10700",
      "primary": true,
      "state": "MO",
      "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": {
    "total_beneficiaries": "108",
    "total_services": "4008.1",
    "total_medicare_allowed_amt": "96153.5",
    "top_hcpcs_services": [
      {
        "code": "A0425",
        "description": "Ground mileage, per statute mile",
        "services": "3870.1",
        "beneficiaries": "106"
      },
      {
        "code": "A0429",
        "description": "Ambulance service, basic life support, emergency transport (bls-emergency)",
        "services": "135",
        "beneficiaries": "105"
      }
    ]
  },
  "enrichment": {
    "plain_english_specialty": "Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance",
    "certifying_board": "State EMS Authority / National Registry of Emergency Medical Technicians (NREMT)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "59",
        "medicare_type": "Ambulance Service Provider"
      }
    ]
  }
}