Complementary Integrated Health Care,LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

COMPLEMENTARY INTEGRATED HEALTH CARE,LLC

Practice address

619 Diagonal St
Clarkston, WA 99403-2041

Phone

(509) 758-9003

Fax

(509) 758-9001

NPI assigned

Aug 29, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Charmaine R Allen-Johnson, ARNPNPI 1235259748

Title

FNP

Phone

(509) 758-9003

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charmaine R Allen-Johnson, ARNP

  • Family Nurse Practitioner
  • Clarkston, WA
  • NPI 1235259748
  Authorized official Same address or phone

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1831347087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 DIAGONAL ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032041",
            "telephone_number": "509-758-9003",
            "fax_number": "509-758-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 DIAGONAL ST",
            "city": "CLARKSTON",
            "state": "WA",
            "postal_code": "994032041",
            "telephone_number": "509-758-9003",
            "fax_number": "509-758-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLEMENTARY INTEGRATED HEALTH CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "ALLEN-JOHNSON",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "509-758-9003",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Jean Collins
• Jackie Collins
• Denise A Comer, LPN
• Community Health Assoc (CHAS/Wasem)
• Community Health Association of Spokane (Lewis and Clark Dental Clinic)
• Trevar Connelly
• Costco Wholesale Corporation (Costco Optical #103)
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Hearing Aid #103)
• Shannon Courtney

• Primary Care Clinic/Center in Clarkston, WA
• Providers in Clarkston, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.