Complementary Cancer Care Inc.

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

COMPLEMENTARY CANCER CARE INC.

Doing business as

Integrative Cancer Care

Practice address

86 Jonathan Lucas St
Charleston, SC 29425-8900

Phone

(843) 792-2000

NPI assigned

May 21, 2009

Last updated

Feb 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul Stephen Falkowski, NUTRITIONIST/LMT

Title

Director

Phone

(843) 792-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Integrative Cancer Care Doing business as

Locations

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1073748927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 JONATHAN LUCAS ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258900",
            "telephone_number": "843-267-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 JONATHAN LUCAS ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258900",
            "telephone_number": "843-792-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEMENTARY CANCER CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "FALKOWSKI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-792-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NUTRITIONIST/LMT"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073748927",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative Cancer Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Comprehensive Dentistry for Adults Inc

• Community Health Clinic/Center in Charleston, SC
• Providers in Charleston, SC by specialty
• Community Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.