| Eau Claire Cooperative Health Center, Inc. | |
|
8063 Edmund Hwy Pelion SC 29123-9805 | |
| (803) 894-3736 | |
| (803) 894-5315 |
| Full Name | Eau Claire Cooperative Health Center, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8063 Edmund Hwy, Pelion, South Carolina |
| Authorized Official Name and Position | Delgado Cantave (CEO) |
| Authorized Official Contact | 8037335969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eau Claire Cooperative Health Center, Inc. Po Box 3788 Columbia SC 29230-3788 Ph: (803) 733-5969 | Eau Claire Cooperative Health Center, Inc. 8063 Edmund Hwy Pelion SC 29123-9805 Ph: (803) 894-3736 |
| NPI Number | 1891148367 |
|---|---|
| Provider Enumeration Date | 07/19/2016 |
| Last Update Date | 02/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891148367 | NPI | - | NPPES |
| ZA9096 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |