| Eau Claire Cooperative Health Center, Inc. | |
|
9023 Garners Ferry Rd Hopkins SC 29061-9540 | |
| (803) 978-1848 | |
| (803) 978-1852 |
| Full Name | Eau Claire Cooperative Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 9023 Garners Ferry Rd, Hopkins, 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) 753-5591 | Eau Claire Cooperative Health Center, Inc. 9023 Garners Ferry Rd Hopkins SC 29061-9540 Ph: (803) 978-1848 |
| NPI Number | 1902176183 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 02/08/2021 |
| Medicare PECOS PAC ID | 3274434220 |
|---|---|
| Medicare Enrollment ID | O20121030000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902176183 | NPI | - | NPPES |
| CBP018 | Medicaid | SC | |
| FQC031 | Medicaid | SC | |
| FQC152 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |