Jca Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

17898 Issued in SC

Legal business name

JCA INC

Practice address

115 Blarney Dr
Columbia, SC 29223-6251

Phone

(803) 736-9400

Fax

(803) 736-6999

NPI assigned

Nov 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chris G Laughter

Title

Administrator

Phone

(803) 736-9400

Specialties & licenses 1

Addresses

Other names 1

• National Men's Health Clinic Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053486050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BLARNEY DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236251",
            "telephone_number": "803-736-9400",
            "fax_number": "803-736-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BLARNEY DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236251",
            "telephone_number": "803-736-9400",
            "fax_number": "803-736-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAUGHTER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "803-736-9400"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "SC",
            "license": "17898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Men's Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Columbia, SC
• Providers in Columbia, SC by specialty
• Health Service Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.