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.
500 N 12TH ST
WEST COLUMBIA, SC29169-6502
Phone: 803-217-0415
Fax: 803-939-1650
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 1629381678
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: FQC151
  • SC Other: 421843 GROUP PTAN

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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