Innovations Ridgewood
LBN: Eau Claire Cooperative Health Center, Inc.
Innovations Ridgewood is an health care organization with primary practice located at 4801 Monticello Rd , Columbia SC 29203-4124. 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) 714-0266, or through Hamilton, Stuart A via phone (803) 733-5969.
Contact Information
Primary practice address
4801 Monticello Rd
Columbia SC 29203-4124
Phone: (803) 714-0266
Fax: (803) 252-1968
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
NPI number | 1427494392 |
---|---|
LBN Legal business name | Eau Claire Cooperative Health Center, Inc. |
DBA Doing business as | Innovations Ridgewood |
Authorized official | Hamilton, Stuart A Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | May 17th, 2013 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427494392 | NPPES |
South Carolina | MEDICAID | 4350 |
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