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.
755 US HIGHWAY 21 S
RIDGEWAY, SC29130-6844
Phone: 803-337-2920
Fax: 803-337-3010
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 1760703250
Legal business name
LBN
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Authorized official DELGADO CANTAVE - (CEO)
Entity Organization
Organization subpart No
Enumeration date 06/18/2010
Last updated 03/19/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: CBP018
  • SC Medicaid: FQC031
  • SC Medicaid: FQC176

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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