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Contact Information

EAU CLAIRE COOPERATIVE HEALTH CENTER INC.
99 N MILL ST
LITTLE MOUNTAIN, SC29075-8788
 Phone: 803-945-1005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

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

NPI # 1669029294
LBN Legal business name EAU CLAIRE COOPERATIVE HEALTH CENTER INC.
Authorized official DELGADO CANTAVE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/19/2019
Last updated 09/01/2020 - About 6 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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