EAU CLAIRE COOPERATIVE HEALTH CENTER INC. NPI 1427649201

NPI Information

NPI: 1427649201
Provider Name: EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.

Doing Business As: COLUMBIA COMMUNITY FAMILY PRACTICE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
4808 COLONIAL DR
COLUMBIA, SC
ZIP 29203
Phone: (803) 888-1106
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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 1427649201. The provider is registered as an organization entity type.
The provider Is Doing Business As Columbia Community Family Practice.

The provider's business location address is:

4808 COLONIAL DR
COLUMBIA, SC
ZIP 29203-260
Phone: (803) 888-1106
Fax: (803) 602-0035

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 enumeration date for this NPI number is 2/3/2021 and was last updated on 2/2/2022.

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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