EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. (NPI# 1891148367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891148367 |
| Entity Type | Organization |
| Organization Name | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. |
| Other Organization Name | PELION FAMILY DENTISTRY |
| Practice Address |
8063 Edmund Hwy Pelion SC 29123-9805 |
| Mailing Address |
Po Box 3788 Columbia SC 29230-3788 |
| Practice Telephone | 8038943736 |
| Practice Fax Number | 8038945315 |
| Mailing Telephone | 8037335969 |
| Mailing Fax Number | 8037535591 |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-12-16 |
| Authorized Official Name | DELGADO CANTAVE (CEO) |
| Authorized Official Telephone | 8037335969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | ZA9096 | 05 |
| Other Name | Type Code |
|---|---|
| Pelion Family Dentistry | Doing Business As Name - Organization |
| 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 |
| 1093051245 | Eau Claire Cooperative Health Center, Inc. | Clinic/Center | 4206 N Main St, Columbia, SC 29203-5864 | 2012-12-17 |
| 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 |
| 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 |
| Street Address |
8063 EDMUND HWY |
| City | PELION |
| State | SC |
| Zip Code | 29123-9805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689830226 | Chermaine Latrice Lyde | Dentist | 8063 Edmund Hwy, Pelion, SC 29123-9805 | 2008-08-04 |
| 1609419449 | Selma Hadziahmetovic | Family Medicine | 8063 Edmund Hwy, Pelion, SC 29123-9805 | 2019-10-24 |
| 1700261013 | Andrena S Zeigler | Nurse Practitioner | 8063 Edmund Hwy, Pelion, SC 29123-9805 | 2015-07-28 |
| 1902205131 | Joseph Rufus Wofford | Counselor | 8063 Edmund Hwy, Pelion, SC 29123-9805 | 2014-08-13 |
| 1386068021 | Jennifer Davis | Counselor | 8063 Edmund Hwy, Pelion, SC 29123-9805 | 2014-02-18 |
| 1659657682 | Eau Claire Cooperative Health Center, Inc | Clinic/Center | 8063 Edmund Hwy, Pelion, SC 29123-9805 | 2011-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205093101 | Scad Consultants Usa LLC | Assisted Living Facility | 7122 Edmund Hiwy, Pelion, SC 29123 | 2008-05-19 |
| 1477889772 | Amp Medical Transport, LLC | Ambulance | 621 Main St, Pelion, SC 29123 | 2009-10-22 |
| 1265705867 | Rhonda Lynn Parker | Home Health Aide | 1721 Pine St, Pelion, SC 29123-8940 | 2012-02-14 |
| 1356989834 | Jennifer L Golden | Speech-Language Pathologist | 7350 Fish Hatchery Rd, Pelion, SC 29123-8996 | 2019-12-16 |
| 1639728736 | Pamela N Batchelor | Pharmacist | 8073 Edmund Hwy, Pelion, SC 29123-9805 | 2019-09-11 |
| 1770628653 | Hawthorne Pelion Pharmacy, Inc. | Pharmacy | 8073 Edmund Highway, Pelion, SC 29123-9805 | 2007-02-20 |
| 1013489970 | Hawthorne Pelion Pharmacy, Inc. | Pharmacy | 8073 Edmund Hwy, Pelion, SC 29123-9805 | 2018-12-17 |
| 1558354282 | George Samuel Wham Jr. | Specialist/Technologist | 600 Lydia Dr, Pelion, SC 29123-9812 | 2005-08-29 |
| 1326425356 | Kerri Anne Mclaughlin | Specialist/Technologist, Other | 600 Lydia Dr, Pelion, SC 29123-9812 | 2015-04-28 |
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564046 | Leishman Dental | Dentist | 121 N Pine St, Batesburg Leesville, SC 29006-1974 | 2020-10-07 |
| 1265039754 | Ravi Bhupen Patel | Dentist | 1755 Central Park Rd, Unit 1107, Charleston, SC 29412-2846 | 2020-10-07 |
| 1447857289 | Rick & Pamela Dhillon Dmd - Sda LLC | Dentist | 3115a Brushy Creek Rd, Greer, SC 29650-0903 | 2020-10-05 |
| 1598372864 | Dental Professional of South Carolina, P.C. | Dentist | 1417 Folly Rd Ste 402, Charleston, SC 29412-9737 | 2020-09-30 |
| 1043827314 | Dental Professionals of South Carolina, P.C. | Dentist | 1767 Heckle Blvd Ste 102, Rock Hill, SC 29732-1878 | 2020-09-30 |
| 1497361307 | Cane Bay Family Dentistry - Goose Creek LLC | Dentist | 129 Plantation North Blvd, Unit D, Goosecreek, SC 29445-2944 | 2020-09-17 |
| 1851906028 | Carolina Park Family Dentistry LLC | Dentist | 3520 Park Avenue Blvd., Suite 100, Mount Pleasant, SC 29466-2946 | 2020-09-14 |
| 1952915027 | Vdp Okatie LLC | Dentist | 10 William Pope Drive, Suite #2, Okatie, SC 29909 | 2020-09-04 |
| 1881208296 | Amanda Ho Van Garrett | Dentist | 122 S Goose Creek Blvd Ste A, Goose Creek, SC 29445-3136 | 2020-09-02 |
| 1871107409 | Ashley Czechner | Dentist | 11990 Highway 17 Byp Ste 8, Murrells Inlet, SC 29576-9379 | 2020-09-01 |
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| 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.