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Contact Information

EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
3800 N MAIN ST
STE. C
COLUMBIA, SC29203-6414
 Phone: 803-705-3169
 Fax: 803-705-3175
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for EAU CLAIRE COOPERATIVE HEALTH CENTER INC · (Female)

NPI # 1457740789
Status Active
Credentials
Entity Individual
Enumeration date 01/09/2015
Last updated 02/03/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid ZA9183
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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