institution
Eau Claire Cooperative Health Center, Inc.
Federally Qualified Health Center (FQHC) in Cayce, South Carolina
NPI 1720399728

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 Cayce, SC. The NPI Number for Eau Claire Cooperative Health Center, Inc. is 1720399728 and holds a License No. (South Carolina).

The current practice location address for Eau Claire Cooperative Health Center, Inc. is 1115 State St, Cayce, SC and can be reached out via phone at 803-939-0174 and via fax at 803-217-0282.

Location: 1115 State St, Cayce, SC, 29230-3788
institution
Provider Profile Details
NPI Number
1720399728
Provider Name
Eau Claire Cooperative Health Center, Inc.
Credential
Provider Entity Type
Organization
Address
1115 State St, Cayce, SC, 29230-3788
Phone Number
803-939-0174
Fax Number
803-217-0282
Provider Enumeration Date
06/24/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FQC031 05 SC
CBP018 05 SC
FQC144 05 SC
4350 01 SC MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
1115 State St
City
State
Zip
29033-4342
Phone Number
803-939-0174
Fax Number
803-217-0282
person
Provider Business Mailing Address Details
Address
1115 State St
City
State
Zip
29033-4342
Phone Number
803-939-0174
Fax Number
803-217-0282
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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