Eau Claire Podiatry

LBN: Eau Claire Cooperative Health Center, Inc.
Eau Claire Podiatry is an health care organization with primary practice located at 3800 N Main St Ste.B, Columbia SC 29203-6414. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Eau Claire Cooperative Health Center, Inc. can be contacted via phone (803) 705-3172, or through Cantave, Delgado via phone (803) 733-5969.

Contact Information

Primary practice address
3800 N Main St Ste.B Columbia SC 29203-6414
Phone: (803) 705-3172
Fax: (803) 705-3173
Website:
Map and Directions
Authorized official contact:
Name: Cantave, Delgado
Phone: (803) 733-5969

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1093093346
LBN Legal business name Eau Claire Cooperative Health Center, Inc.
DBA Doing business as Eau Claire Podiatry
Authorized official Cantave, Delgado
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2011
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 1093093346 NPPES
South Carolina MEDICAID FQC165
South Carolina MEDICAID FQC031
South Carolina MEDICAID CBP018

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