EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.


Address: 4206 N Main St, Columbia, SC 29203-5864
Phone: 8037862121

EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. (NPI# 1093051245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093051245
Entity Type Organization
Organization Name EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Other Organization Name INNOVATIONS EAU CLAIRE
Practice Address 4206 N Main St
Columbia
SC 29203-5864
Mailing Address Po Box 3788
Columbia
SC 29230-3788
Practice Telephone 8037862121
Practice Fax Number 8037862124
Mailing Telephone 8037335969
Mailing Fax Number 8032170026
Enumeration Date 2012-12-17
Last Update Date 2016-12-16
Authorized Official Name DELGADO CANTAVE (CEO)
Authorized Official Telephone 8037335969
Is Organization Subpart Y
Parent Organization Name EAU CLAIRE COOPERATIVE HEALTH CENTERS, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
SC 4350 05

Other Provider/Organization Names

Other Name Type Code
Innovations Eau Claire Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1033760483 Eau Claire Cooperative Health Center, Inc. Pharmacy 3041 Old Eastover Rd, Eastover, SC 29044-8303 2019-09-26
1023407996 Eau Claire Cooperative Health Center, Inc. Pediatrics 4601 Monticello Road, Columbia, SC 29203 2015-01-15
1811294978 Eau Claire Cooperative Health Center, Inc. Clinic/Center 3041 Old Eastover Road, Eastover, SC 29044-2417 2011-02-24
1326267592 Eau Claire Cooperative Health Center, Inc. Clinic/Center 9017 State Highway 215 S, Jenkinsville, SC 29065-9428 2007-04-25
1346249430 Eau Claire Cooperative Health Center, Inc. Family Medicine 1228 Harden St, Columbia, SC 29204-1800 2005-07-20
1891148367 Eau Claire Cooperative Health Center, Inc. Dentist 8063 Edmund Hwy, Pelion, SC 29123-9805 2016-07-19
1588053938 Eau Claire Cooperative Health Center, Inc. Family Medicine 2025 Main St, Columbia, SC 29201-2125 2015-01-22
1457740789 Eau Claire Cooperative Health Center, Inc. Clinic/Center 3800 N Main St, Ste. C, Columbia, SC 29203-6414 2015-01-09
1902176183 Eau Claire Cooperative Health Center, Inc. Clinic/Center 9023 Garners Ferry Rd, Hopkins, SC 29061-9540 2012-01-05
1093093346 Eau Claire Cooperative Health Center, Inc. Podiatrist 3800 N Main St, Ste.b, Columbia, SC 29203-6414 2011-08-03

Office Location

Street Address 4206 N MAIN ST
City COLUMBIA
State SC
Zip Code 29203-5864

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689076218 Sandra Jeter Social Worker 4206 N Main St, Columbia, SC 29203-5864 2014-09-26
1548661424 Shakara Hart Social Worker 4206 N Main St, Columbia, SC 29203-5864 2014-09-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609475284 Matthew Leon Brigmon Surgery 2 Richland Medical Park, Suite 300, Columbia, SC 29203 2020-10-23
1730706839 John James Gannon Family Medicine Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 2020-07-06
1790302362 Klariz Teves Tucker Internal Medicine Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-30
1811514482 Esther Ruth Swan Psychiatry & Neurology Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1447877014 Jordan Kaitlyn Merrels Psychiatry & Neurology Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-30
1306463187 Jessica Leigh Watson Psychiatry & Neurology Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-29
1053938852 Garrison Glenn Rice Family Medicine Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 2020-06-29
1053938977 Rachel Ellen Harper Obstetrics & Gynecology The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 2020-06-26
1609493592 Elizabeth Marie Kern Orthopaedic Surgery Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 2020-06-26
1891312799 Kathryn Victoria Steverson Psychiatry & Neurology Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 2020-06-26
Find all providers in zip 29203

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235753914 Eau Claire Cooperative Health Center Inc. Clinic/Center 4605 Monticello Rd Bldg C, Columbia, SC 29203-4156 2020-05-29
1407487382 Family First Health Corporation Clinic/Center 430 Walnut St, Columbia, PA 17512-1295 2020-01-30
1295202356 Eau Claire Cooperative Health Center Inc. Clinic/Center 2600 Wheat St, Columbia, SC 29205-2315 2018-10-26
1689160939 Maury Regional Hospital Clinic/Center 98 Experiment Station Lane, Columbia, TN 38401-4700 2018-07-10
1285188466 Family First Health Corporation Clinic/Center 369 Locust St, First Floor, Columbia, PA 17512-1383 2016-08-05
1699157461 Cumberland Family Medical Center, Inc. Clinic/Center 870 Indian Dr, Columbia, KY 42728-1813 2015-06-29
1164804720 Cumberland Family Medical Center, Inc. Clinic/Center 158 Colonel Casey Drive, Columbia, KY 42728 2015-06-19
1790170389 Maury Regional Hospital Clinic/Center 854 W James M Campbell Blvd Ste 301, Columbia, TN 38401-4659 2015-04-01
1760871115 Eau Claire Cooperative Health Centers, Inc. Clinic/Center 2400 Waites Rd, Columbia, SC 29204-1325 2015-01-22
1700122967 Eau Claire Cooperative Health Centers, Inc. Clinic/Center 6904 N Main St, Suite 100, Columbia, SC 29203-3852 2012-12-17
Find all providers in COLUMBIA

Competitor

Search similar providers

City COLUMBIA
Zip Code 29203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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