EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. (NPI# 1033760483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033760483 |
| Entity Type | Organization |
| Organization Name | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. |
| Practice Address |
3041 Old Eastover Rd Eastover SC 29044-8303 |
| Practice Telephone | 8038758010 |
| Mailing Telephone | 8038758010 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Authorized Official Name | DELGADO CANTAVE (CEO) |
| Authorized Official Telephone | 8037335969 |
| Is Organization Subpart | Y |
| Parent Organization Name | EAU CLAIRE COOPERATIVE HEALTH CENTERS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NCPDP | 4235885 | 01 |
| Other Name | Type Code |
|---|---|
| Eastover Cooperative Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| Street Address |
3041 OLD EASTOVER RD |
| City | EASTOVER |
| State | SC |
| Zip Code | 29044-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204899 | Wanda Kay Fulton | Nurse Practitioner | 3041 Old Eastover Rd, Eastover, SC 29044-8303 | 2020-08-04 |
| 1871133728 | Melissa R. Scott | Nurse Practitioner | 3041 Old Eastover Rd, Eastover, SC 29044-8303 | 2020-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427470251 | Carla Nadine Boyd | Home Health Aide | 1156 B Old Mcgraw Rd, Eastover, SC 29044 | 2014-01-14 |
| 1982691796 | Vanessa K Wideman | Family Medicine | 1325 S Carolina Rd Ste 11, Eastover, SC 29044 | 2005-10-06 |
| 1730669789 | Eau Claire Cooperative Health Center Inc. | Pharmacy | 3041 Old Eastover Road, Eastover, SC 29044 | 2018-08-20 |
| 1811294978 | Eau Claire Cooperative Health Center, Inc. | Clinic/Center | 3041 Old Eastover Road, Eastover, SC 29044-2417 | 2011-02-24 |
| 1821290818 | Marguerite Lovett Knox | Nurse Practitioner | 1325 S Carolina Rd Ste 29, Eastover, SC 29044-5000 | 2007-06-03 |
| 1962914036 | Alex Ramon Wright | Social Worker | 860 S Carolina Rd, Eastover, SC 29044-5052 | 2017-10-30 |
| 1609328590 | Deidra Swails | Social Worker | 860 S Carolina Rd # 6, Eastover, SC 29044-5052 | 2016-10-26 |
| 1811496862 | Tonia Michele Wood | Registered Nurse | 120 Clarkson St, Eastover, SC 29044-8769 | 2018-02-06 |
| 1073982195 | Chelsea Baker | Physician Assistant | 120 Clarkson St, Eastover, SC 29044-8769 | 2015-09-18 |
| 1700125879 | Ever S Collier | Nurse Practitioner | 120 Clarkson St, Eastover, SC 29044-8769 | 2013-02-08 |
| Find all providers in zip 29044 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730669789 | Eau Claire Cooperative Health Center Inc. | Pharmacy | 3041 Old Eastover Road, Eastover, SC 29044 | 2018-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144840026 | Salubrius Pharmacy, LLC | Pharmacy | 120 Clair Dr, Powdersville, SC 29673-7771 | 2020-04-21 |
| 1073146502 | Greenville Health Corporation | Pharmacy | 115 N Sumter St Ste 220, Sumter, SC 29150-4972 | 2020-02-12 |
| 1043858996 | M Holdings LLC | Pharmacy | 808 Highway 378 Ste A, Lexington, SC 29072-8379 | 2019-12-11 |
| 1467002816 | Black River Pharmacy LLC | Pharmacy | 32a N Williamsburg County Hwy, Kingstree, SC 29556-2433 | 2019-09-18 |
| 1548821457 | Dipti H Patel | Pharmacy | 636 Chartwell Dr, Greer, SC 29650-4787 | 2019-06-23 |
| 1972163350 | Genesis Health Care, Inc | Pharmacy | 211 S Jones Rd Ste A, Olanta, SC 29114-9705 | 2019-06-18 |
| 1013571314 | Publix Super Markets, Inc. | Pharmacy | 730 Hopewell Drive, Charleston-berkeley, SC 29492-7102 | 2019-04-23 |
| 1548769219 | Long's Drugstores of South Carolina, Inc. | Pharmacy | 811 Pendleton St Ste 10, Greenville, SC 29601-3232 | 2018-02-07 |
| 1740788066 | Zivitski Health Group LLC | Pharmacy | 345 W Main Street, Gray Court, SC 29645 | 2018-02-01 |
| 1619485992 | Redec Pharmacy | Pharmacy | 200 N Dobys Bridge Rd Ste 124, Fort Mill, SC 29715-2084 | 2018-01-20 |
| Find all providers with the same taxonomy | ||||
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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.