EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. is a federally qualified health center (fqhc) clinic center in Columbia, SC. EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. NPI is 1053622050. The provider is registered as an organization entity type.
The provider Is Doing Business As Waverly Family Practice.
The provider's business location address is:
1228 HARDEN ST
STE.C
COLUMBIA, SC
ZIP 29204-800
Phone: (803) 748-1181
Fax: (803) 748-1185
The provider's authorized official is Delgado Cantave .
The authorized official title is Ceo and has the following contact phone number (803) 733-5969.
The CLIA number assigned to this NPI record is 42D0911761 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 6/24/2010 and was last updated on 2/3/2022.