institution
Eau Claire Cooperative Health Center, Inc.
Federally Qualified Health Center (FQHC) in West Columbia, South Carolina
NPI 1629381678

Eau Claire Cooperative Health Center, Inc. is a Federally Qualified Health Center (FQHC) based in Columbia, SC and is specialized in Federally Qualified Health Center (FQHC). Eau Claire Cooperative Health Center, Inc. practices in West Columbia, SC. The NPI Number for Eau Claire Cooperative Health Center, Inc. is 1629381678 and holds a License No. (South Carolina).

The current practice location address for Eau Claire Cooperative Health Center, Inc. is 500 N 12Th St, West Columbia, SC and can be reached out via phone at 803-217-0415 and via fax at 803-939-1650. You can also correspond with Eau Claire Cooperative Health Center, Inc. through the mailing address at PO BOX 3788, COLUMBIA, SC - 29230-3788 (mailing address contact number: 803-733-5969).

Location: 500 N 12Th St, West Columbia, SC, 29230-3788
institution
Provider Profile Details
NPI Number
1629381678
Provider Name
Eau Claire Cooperative Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
500 N 12Th St, West Columbia, SC, 29230-3788
Phone Number
803-217-0415
Fax Number
803-939-1650
Provider Enumeration Date
07/20/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
421843 01 SC GROUP PTAN
FQC031 05 SC
FQC151 05 SC
CBP018 05 SC
institution
Provider Business Practice Location Address Details
Address
500 N 12Th St
City
State
Zip
29169-6502
Phone Number
803-217-0415
Fax Number
803-939-1650
person
Provider Business Mailing Address Details
Address
500 N 12Th St
City
State
Zip
29169-6502
Phone Number
803-217-0415
Fax Number
803-939-1650
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
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