{
  "npi": "1952462681",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "M.D",
    "enumeration_date": "2006-12-13",
    "first_name": "GLEN",
    "last_name": "ALBERTSON",
    "last_updated": "2007-07-09",
    "middle_name": "R",
    "name_prefix": "--",
    "name_suffix": "Jr.",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1120 MONTANA ST",
      "address_2": "PO BOX 481",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GOODING",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "208-934-8643",
      "postal_code": "833301858",
      "state": "ID",
      "telephone_number": "208-934-4433"
    },
    {
      "address_1": "1120 MONTANA ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "GOODING",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "208-934-8643",
      "postal_code": "833301858",
      "state": "ID",
      "telephone_number": "208-934-4433"
    }
  ],
  "taxonomies": [
    {
      "code": "282NC0060X",
      "desc": "General Acute Care Hospital, Critical Access",
      "license": "282nc0060x",
      "primary": true,
      "state": "ID",
      "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": "Critical Access Hospital"
      }
    ]
  }
}