EAU CLAIRE COOPERATIVE HEALTH CENTERS, INC. (NPI# 1952727158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952727158 |
| Entity Type | Organization |
| Organization Name | EAU CLAIRE COOPERATIVE HEALTH CENTERS, INC. |
| Other Organization Name | MIDLANDS PEDIATRICS |
| Practice Address |
2712 Middleburg Dr Ste. 101 Columbia SC 29204-2415 |
| Mailing Address |
Po Box 3788 Columbia SC 29230-3788 |
| Practice Telephone | 8032544257 |
| Practice Fax Number | 8032527334 |
| Mailing Telephone | 8037335969 |
| Mailing Fax Number | 8032170026 |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |
| Authorized Official Name | STUART A HAMILTON (CEO) |
| Authorized Official Telephone | 8037335969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CBP018 | 05 | |
| SC | FQC031 | 05 |
| Other Name | Type Code |
|---|---|
| Midlands Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760871115 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 2400 Waites Rd, Columbia, SC 29204-1325 | 2015-01-22 |
| 1679962021 | Eau Claire Cooperative Health Centers, Inc. | Family Medicine | 3821 W Beltline Blvd, Columbia, SC 29204-1567 | 2015-01-22 |
| 1841689288 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 1978 State Highway 215 S, Blair, SC 29015-9443 | 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 |
| 1427494392 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 4801 Monticello Rd, Columbia, SC 29203-4124 | 2013-05-17 |
| 1467795815 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 4605 Monticello Rd, Bldgb, Ste.2, Columbia, SC 29203-4156 | 2013-04-04 |
| 1760703250 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 755 Us Highway 21 S, Ridgeway, SC 29130-6844 | 2010-06-18 |
| 1750555298 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 1332 Pickens St, Columbia, SC 29201-3430 | 2008-04-16 |
| 1558320960 | Eau Claire Cooperative Health Centers, Inc. | Clinic/Center | 1520 Laurel St, Columbia, SC 29201-2623 | 2006-03-23 |
| Street Address |
2712 MIDDLEBURG DR STE. 101 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-2415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336132075 | Andrea Marie Lazaro | Pediatrics | 2712 Middleburg Dr, Suite 101 Midlands Pediatrics, Columbia, SC 29204 | 2005-08-29 |
| 1801434402 | Megan Colleen Brogan | Nurse Practitioner | 2712 Middleburg Dr, Columbia, SC 29204-2415 | 2019-12-13 |
| 1134787138 | Jaclyn Turner Sload | Counselor | 2712 Middleburg Dr, Columbia, SC 29204-2415 | 2019-06-04 |
| 1932649696 | Midlands Center for Addiction Treatment | Clinic/Center | 2712 Middleburg Dr, Suite 206, Columbia, SC 29204-2415 | 2017-02-28 |
| 1891247730 | Brittany Dorn | Social Worker | 2712 Middleburg Dr, Suite 206, Columbia, SC 29204-2415 | 2016-10-26 |
| 1457725558 | Mindful Clinic | Counselor | 2712 Middleburg Dr, Suite 104, Columbia, SC 29204-2415 | 2015-11-30 |
| 1033580766 | Eric Wayne Powell | Social Worker | 2712 Middleburg Dr, Columbia, SC 29204-2415 | 2015-10-07 |
| 1073994547 | Transcendence, Inc | Counselor | 2712 Middleburg Dr, 206, Columbia, SC 29204-2415 | 2015-06-10 |
| 1962896514 | Caryn Bond | Counselor | 2712 Middleburg Dr, Suite 104, Columbia, SC 29204-2415 | 2015-03-21 |
| 1366865743 | Kotina Tarheshe Hutto | Counselor | 2712 Middleburg Dr, Suite 207-b, Columbia, SC 29204-2415 | 2014-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992215149 | Ricardo Colon II | Registered Nurse | 3000 Hampton Street, Columbia, SC 29204 | 2017-10-02 |
| 1780113522 | Carla Star Noe | Registered Nurse | Sc Department of Health and Environmental Control, 2100 Bull Street, Collumbia, SC 29204 | 2017-06-06 |
| 1124568514 | Kristy L Thompson | Nurse Practitioner | 1655 Bernardin Ave Ste 240, Columbia, SC 29204 | 2017-03-03 |
| 1982052031 | Harold Eugene Cook Iv | Podiatrist | 1730 St Julian Place, Columbia, SC 29204 | 2016-05-31 |
| 1851748974 | Shaquita Banks | Counselor | 1810 Allen Benedict Ct, A1, Columbia, SC 29204 | 2016-05-18 |
| 1265804835 | Premier Care, LLC | Case Management | 2712 Middleburg Drive, Suite 206, Columbia, SC 29204 | 2015-10-22 |
| 1023492287 | Shamiquia N. Mcpherson | Counselor | 1627 Auburn St., Columbia, SC 29204 | 2015-07-16 |
| 1285028449 | The Columbia Free Medical Clinic, Inc. | Clinic/Center | 1875 Harden Street, Columbia, SC 29204 | 2015-03-26 |
| 1629473459 | Leslie Wilson | Counselor | 2323 Lady Street, Columbia, SC 29204 | 2014-10-22 |
| 1053728683 | Candyce Sutton | Social Worker | 1135 Carter Street, Columbia, SC 29204 | 2014-07-15 |
| Find all providers in zip 29204 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| 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 |
| 1093051245 | Eau Claire Cooperative Health Center, Inc. | Clinic/Center | 4206 N Main St, Columbia, SC 29203-5864 | 2012-12-17 |
| Find all providers in COLUMBIA | ||||
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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.