| Cooperative Ministry | |
|
3821 W Beltline Blvd Columbia SC 29204-1567 | |
| (803) 708-4861 | |
| (803) 753-5591 |
| Full Name | Cooperative Ministry |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3821 W Beltline Blvd, Columbia, South Carolina |
| Authorized Official Name and Position | Stuart A. Hamilton (CEO) |
| Authorized Official Contact | 8037335969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooperative Ministry Po Box 3788 Columbia SC 29230-3788 Ph: (803) 733-5969 | Cooperative Ministry 3821 W Beltline Blvd Columbia SC 29204-1567 Ph: (803) 708-4861 |
| NPI Number | 1679962021 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 02/03/2022 |
| Certification Date | 02/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679962021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
| 207Q00000X | Family Medicine | (NU) | Secondary |
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