| Eau Claire Cooperative Health Center, Inc. | |
|
1228 Harden St Ste A Columbia SC 29204-1800 | |
| (803) 748-7002 | |
| (803) 252-5259 |
| Full Name | Eau Claire Cooperative Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1228 Harden St Ste A, Columbia, South Carolina |
| Authorized Official Name and Position | Delgado Cantave (CEO) |
| Authorized Official Contact | 8037335969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eau Claire Cooperative Health Center, Inc. Po Box 3788 Columbia SC 29230-3788 Ph: (803) 753-5991 | Eau Claire Cooperative Health Center, Inc. 1228 Harden St Ste A Columbia SC 29204-1800 Ph: (803) 748-7002 |
| NPI Number | 1467763391 |
|---|---|
| Provider Enumeration Date | 06/25/2010 |
| Last Update Date | 01/11/2023 |
| Medicare PECOS PAC ID | 3274434220 |
|---|---|
| Medicare Enrollment ID | O20130329000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467763391 | NPI | - | NPPES |
| 4350 | Other | SC | MEDICARE PART B |
| FQC031 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Lexington Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 Barton Creek Ct, Columbia, SC 29229 Phone: 803-256-2286 Fax: 803-419-8430 | |
Landmark Medical Of Tennessee Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1320 Main St Ste 300, Columbia, SC 29201 Phone: 657-400-5180 | |
Northlake Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Ne Medical Park, Ste 101, Columbia, SC 29223 Phone: 803-419-5131 Fax: 803-419-5130 | |
Richland Community Health Care Association Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3010 Farrow Rd, Suite 230, Columbia, SC 29203 Phone: 803-799-1284 Fax: 803-799-8148 | |
Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |
Eau Claire Cooperative Health Center ,inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1228 Harden St Ste B, Columbia, SC 29204 Phone: 803-748-7002 Fax: 803-252-5259 | |
Providence Physician Practices Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2435 Forest Dr, Columbia, SC 29204 Phone: 803-256-5300 |