EAU CLAIRE COOPERATIVE HEALTH CENTER INC. – NPI #1235753914
Clinic/Center

EAU CLAIRE COOPERATIVE HEALTH CENTER INC. is an AHC clinic located in COLUMBIA, SC. NPPES has assigned the NPI number 1235753914 to EAU CLAIRE COOPERATIVE HEALTH CENTER INC. on May 29, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAU CLAIRE COOPERATIVE HEALTH CENTER INC. below.

NPI Profile for
EAU CLAIRE COOPERATIVE HEALTH CENTER INC.

NPI Number
1235753914
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAU CLAIRE COOPERATIVE HEALTH CENTER INC.
Primary location
4605 MONTICELLO RD BLDG C
COLUMBIA, SC 29203-4156
Phone: (803) 356-7102 Fax:
Mailing address
169 LAURELHURST AVE
COLUMBIA, SC 29210-3825
Phone: (803) 733-5969 Fax:
Organization Subpart
No
Authorized Official
DELGADO CANTAVE
CEO
Phone: (803) 733-5969
Updated
Certification Date
May 29, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.