National Provider Identifier Database

EAU CLAIRE COOPERATIVE HEALTH CENTER INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
4605 MONTICELLO RD
BLDG A, STE.1
COLUMBIA, SC29203-4156
Phone: 803-252-7001
Fax: 803-252-5219
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.

NPI Number 1265745202
Legal business name
LBN
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Authorized official DELGADO CANTAVE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 07/20/2010
Last updated 02/03/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: CBP018
  • SC Medicaid: FQC031
  • SC Medicaid: FQC130

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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