EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. (NPI# 1902176183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902176183 |
Entity Type | Organization |
Organization Name | EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. |
Other Organization Name | HOPKINS FAMILY PRACTICE |
Practice Address |
9023 Garners Ferry Rd Hopkins SC 29061-9540 |
Mailing Address |
Po Box 3788 Columbia SC 29230-3788 |
Practice Telephone | 8039781848 |
Practice Fax Number | 8039781852 |
Mailing Telephone | 8037535591 |
Mailing Fax Number | 8037535591 |
Enumeration Date | 2012-01-05 |
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 | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
SC | FQC152 | 05 | |
SC | FQC031 | 05 | |
SC | CBP018 | 05 |
Other Name | Type Code |
---|---|
Hopkins Family Practice | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033760483 | Eau Claire Cooperative Health Center, Inc. | Pharmacy | 3041 Old Eastover Rd, Eastover, SC 29044-8303 | 2019-09-26 |
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 |
1093093346 | Eau Claire Cooperative Health Center, Inc. | Podiatrist | 3800 N Main St, Ste.b, Columbia, SC 29203-6414 | 2011-08-03 |
Street Address |
9023 GARNERS FERRY RD |
City | HOPKINS |
State | SC |
Zip Code | 29061-9540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477746469 | Ezra Mozelle Ash-malachi | Family Medicine | 9023 Garners Ferry Rd, Hopkins, SC 29061-9687 | 2007-08-22 |
1952874158 | Heather Schneider Miles | Nurse Practitioner | 9023 Garners Ferry Rd, Hopkins, SC 29061-9540 | 2019-01-10 |
1851790216 | Alexandra Byers Weathersby | Nurse Practitioner | 9023 Garners Ferry Rd, Hopkins, SC 29061 | 2014-08-21 |
1962789875 | Michelle Goodwin Drayton | Counselor | 9023 Garners Ferry Rd, Hopkins, SC 29061-9540 | 2011-11-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508250119 | Jumps | Community/Behavioral Health | 222 Jw Neal Circle, Hopkins, SC 29061 | 2015-03-20 |
1689972481 | Sonia Darley | Pharmacist | 636 New Stock Drive, Hopkins, SC 29061 | 2011-03-03 |
1871708792 | S. Askia Davis | Nurse Practitioner | 9019 Garners Ferry Rd St B, Hopkins, SC 29061 | 2007-05-14 |
1043303720 | Medfirst Diabetic Shoes & Supplies | Durable Medical Equipment & Medical Supplies | 112-k White Oak Lane, Lexington, SC 29061 | 2006-10-02 |
1063930360 | Happy Hands Transportation LLC | Private Vehicle | 2703 Trotter Rd, Hopkins, SC 29061-8211 | 2017-09-07 |
1295353472 | Kimeka L Peake | Counselor | 129 Bloxome Dr, Hopkins, SC 29061-8225 | 2020-07-14 |
1730540717 | Bonita Street | Day Training/Habilitation Specialist | 309 Keystone Dr, Hopkins, SC 29061-8378 | 2016-03-17 |
1922124635 | Felicia Latrice Mcghee | Counselor | 240 Rosebrook Dr, Hopkins, SC 29061-8388 | 2007-03-22 |
1760631360 | Andrea Joyce Richardson | Social Worker | 265 Rosebrooke Way, Hopkins, SC 29061-8389 | 2008-09-18 |
1467517649 | Countrywood Nursing Center, LLC | Assisted Living Facility | 1645 Ridge Rd, Hopkins, SC 29061-8432 | 2006-12-27 |
Find all providers in zip 29061 |
Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
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1316291172 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 200 Elm St E, Hampton, SC 29924-3430 | 2012-11-01 |
1598019341 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 776 2nd St E, Estill, SC 29918-4926 | 2012-11-01 |
1629322466 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 1520 Grays Hwy, Ridgeland, SC 29936-5440 | 2012-11-01 |
1720332794 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 552 Stiney Road, Hardeeville, SC 29927-0369 | 2012-10-30 |
1427302470 | Beaufort Jasper Hampton Comprehensive Health Services, Inc. | Clinic/Center | 6315 Jonathan Francis Sr. Rd., St. Helena Island, SC 29920-5401 | 2012-10-30 |
1801178918 | Community Medicine Foundation | Clinic/Center | 313 Fargo St, Rock Hill, SC 29732-2870 | 2011-09-14 |
1013299148 | Community Medicine Foundation | Clinic/Center | 382 Workman St, Rock Hill, SC 29730-6354 | 2011-09-14 |
1669676201 | Family Health Centers, Inc. | Clinic/Center | 7061 Norway Rd, Neeses, SC 29107-9021 | 2007-06-14 |
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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.