EAU CLAIRE COOPERATIVE HEALTH CENTER INC. (NPI# 1306185509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306185509 |
| Entity Type | Organization |
| Organization Name | EAU CLAIRE COOPERATIVE HEALTH CENTER INC. |
| Other Organization Name | WAVERLY WOMEN'S HEALTH EAU CLAIRE |
| Practice Address |
1228 Harden St Ste.b Columbia SC 29204-1800 |
| Mailing Address |
Po Box 3788 Columbia SC 29230-3788 |
| Practice Telephone | 8037440540 |
| Practice Fax Number | 8037440542 |
| Mailing Telephone | 8037335969 |
| Mailing Fax Number | 8037535591 |
| Enumeration Date | 2013-02-07 |
| 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | FQC134 | 05 | |
| SC | CBP018 | 05 | |
| SC | MEDICAID FQC NUMBER | FQC031 | 01 |
| Other Name | Type Code |
|---|---|
| Waverly Women's Health Eau Claire | Doing Business As Name - Organization |
| 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 |
| 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 |
| Street Address |
1228 HARDEN ST STE.B |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29204-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249430 | Eau Claire Cooperative Health Center, Inc. | Family Medicine | 1228 Harden St, Columbia, SC 29204-1800 | 2005-07-20 |
| 1114468832 | Shanda Hill | Nurse Practitioner | 1228 Harden St, Ste. B, Columbia, SC 29204-1800 | 2017-03-14 |
| 1013369453 | Allison Stoughton Moore | Nurse Practitioner | 1228 Harden St, Columbia, SC 29204-1800 | 2016-07-11 |
| 1851762694 | Allison Murrell | Nurse Practitioner | 1228 Harden St, Ste.c, Columbia, SC 29204-1800 | 2015-10-19 |
| 1154791259 | Petra Edwards | Nurse Practitioner | 1228 Harden St, Ste.c, Columbia, SC 29204-1800 | 2015-10-01 |
| 1063829547 | Carolina Ob/gyn Group, LLC | Obstetrics & Gynecology | 1228 Harden St, Columbia, SC 29204-1800 | 2014-07-17 |
| 1588093728 | Rosa Maria Castillo Schilder | Obstetrics & Gynecology | 1228 Harden St, Columbia, SC 29204-1800 | 2013-11-07 |
| 1417385899 | Five Points Cooperative Pharmacy | Pharmacy | 1228 Harden St, Columbia, SC 29204-1800 | 2013-10-23 |
| 1144502444 | Tabitha Garner | Nurse Practitioner | 1228 Harden St, Columbia, SC 29204-1800 | 2011-09-13 |
| 1740577469 | Tessa Vera Gonzalez | Pediatrics | 1228 Harden St, Columbia, SC 29204-1800 | 2011-07-01 |
| 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.