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Contact Information

EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
2400 WAITES RD
COLUMBIA, SC29204-1325
 Phone: 803-708-4861
 Fax: 803-753-5591
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

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.

NPI Number 1760871115
LBN Legal business name EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Authorized official STUART HAMILTON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/22/2015
Last updated 02/10/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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