| Eau Claire Cooperative Health Center, Inc. | |
|
1332 Pickens St Columbia SC 29201-3430 | |
| (803) 771-4160 | |
| (803) 771-4367 |
| Full Name | Eau Claire Cooperative Health Center, Inc. |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 1332 Pickens St, 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 |
|---|---|
| Eau Claire Cooperative Health Center, Inc. Po Box 3788 Columbia SC 29230-3788 Ph: (803) 733-5969 | Eau Claire Cooperative Health Center, Inc. 1332 Pickens St Columbia SC 29201-3430 Ph: (803) 771-4160 |
| NPI Number | 1750555298 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 02/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750555298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (South Carolina) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
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