EAU CLAIRE COOPERATIVE HEALTH CENTER INC. NPI 1861082422

NPI Information

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 1861082422. The provider is registered as an organization entity type.
The provider Is Doing Business As Toby's Place.

The provider's business location address is:

5938 TWO NOTCH RD
COLUMBIA, SC
ZIP 29223-225
Phone: (803) 888-1105
Fax: (803) 888-1108

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 42D2137258 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2021 and was last updated on 2/10/2022.

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:

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