{
  "npi": "1922032549",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "NANCY",
    "authorized_official_last_name": "HARRIS",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6608867431",
    "authorized_official_title_or_position": "CFO/COO",
    "certification_date": "2024-03-05",
    "enumeration_date": "2006-07-10",
    "last_updated": "2024-03-05",
    "organization_name": "JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "JOHN FITZGIBBON MEMORIAL HOSPITAL, INC.",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "815 E. BROADWAY STREET",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BRUNSWICK",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "660-831-3328",
      "postal_code": "652361468",
      "state": "MO",
      "telephone_number": "660-886-7431"
    },
    {
      "address_1": "2305 SOUTH 65 HIGHWAY",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MARSHALL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "660-584-3096",
      "postal_code": "653403702",
      "state": "MO",
      "telephone_number": "660-548-3161"
    }
  ],
  "taxonomies": [
    {
      "code": "261QR1300X",
      "desc": "Clinic/Center, Rural Health",
      "license": "598917607",
      "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": 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"
      }
    ]
  }
}