EAU CLAIRE COOPERATIVE HEALTH CENTER INC. NPI 1548571474

NPI Information

NPI: 1548571474
Provider Name: EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.

Doing Business As: WAVERLY WOMEN'S HEALTH

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
2117 GERVAIS ST
COLUMBIA, SC
ZIP 29204
Phone: (803) 744-0540
Get Directions

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 1548571474. The provider is registered as an organization entity type.
The provider Is Doing Business As Waverly Women's Health.

The provider's business location address is:

2117 GERVAIS ST
COLUMBIA, SC
ZIP 29204-805
Phone: (803) 744-0540
Fax: (803) 744-0542

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 6/25/2010 and was last updated on 12/8/2022.

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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	FQC031	MEDICAID	SOUTH CAROLINA
2	FQC134	MEDICAID	SOUTH CAROLINA
3	CBP018	MEDICAID	SOUTH CAROLINA

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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