Innovations Eau Claire

LBN: Eau Claire Cooperative Health Center, Inc.
Innovations Eau Claire is an health care organization with primary practice located at 4206 N Main St , Columbia SC 29203-5864. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Eau Claire Cooperative Health Center, Inc. can be contacted via phone (803) 786-2121, or through Cantave, Delgado via phone (803) 733-5969.

Contact Information

Primary practice address
4206 N Main St Columbia SC 29203-5864
Phone: (803) 786-2121
Fax: (803) 786-2124
Website:
Map and Directions
Authorized official contact:
Name: Cantave, Delgado
Phone: (803) 733-5969

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1093051245
LBN Legal business name Eau Claire Cooperative Health Center, Inc.
DBA Doing business as Innovations Eau Claire
Authorized official Cantave, Delgado
Entity Organization
Organization subpart 1 No
Enumeration date Dec 17th, 2012
Last updated Feb 3rd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093051245 NPPES
South Carolina MEDICAID 4350

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