EAU CLAIRE COOPERATIVE HEALTH CENTER INC. (NPI# 1235753914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235753914 |
| Entity Type | Organization |
| Organization Name | EAU CLAIRE COOPERATIVE HEALTH CENTER INC. |
| Practice Address |
4605 Monticello Rd Bldg C Columbia SC 29203-4156 |
| Mailing Address |
169 Laurelhurst Ave Columbia SC 29210-3825 |
| Practice Telephone | 8033567102 |
| Mailing Telephone | 8037335969 |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2020-05-29 |
| 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Eau Claire Family Dentistry at Monticello | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295202356 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 2600 Wheat St, Columbia, SC 29205-2315 | 2018-10-26 |
| 1669029294 | Eau Claire Cooperative Health Center Inc. | Family Medicine | 99 N Mill St, Little Mountain, SC 29075-8788 | 2019-08-19 |
| 1730669789 | Eau Claire Cooperative Health Center Inc. | Pharmacy | 3041 Old Eastover Road, Eastover, SC 29044 | 2018-08-20 |
| 1538674254 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 407 N Brown St, West Columbia, SC 29169-5710 | 2017-12-04 |
| 1306185509 | Eau Claire Cooperative Health Center Inc. | Clinic/Center | 1228 Harden St, Ste.b, Columbia, SC 29204-1800 | 2013-02-07 |
| Street Address |
4605 MONTICELLO RD BLDG C |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-4156 |
| 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 Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 | ||||
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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.