EAU CLAIRE COOPERATIVE HEALTH CENTER INC. NPI 1235753914

NPI Information

NPI: 1235753914
Provider Name: EAU CLAIRE COOPERATIVE HEALTH CENTER INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 42D2048687

Address:
4605 MONTICELLO RD BLDG C
COLUMBIA, SC
ZIP 29203
Phone: (803) 356-7102
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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 1235753914. The provider is registered as an organization entity type.

The provider's business location address is:

4605 MONTICELLO RD BLDG C
COLUMBIA, SC
ZIP 29203-156
Phone: (803) 356-7102

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 42D2048687 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2020 and was last updated on 5/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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