Eau Claire Internal Medicine
LBN: Eau Claire Cooperative Health Center, Inc
Eau Claire Internal Medicine is an health care organization with primary practice located at 4605 Monticello Rd Bldg A, Ste.3, Columbia SC 29203-4156. 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) 754-0151, or through Cantave, Delgado via phone (803) 733-5969.
Contact Information
Primary practice address
4605 Monticello Rd Bldg A, Ste.3
Columbia SC 29203-4156
Phone: (803) 754-0151
Fax: (803) 691-1778
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1447561527 |
|---|---|
| LBN Legal business name | Eau Claire Cooperative Health Center, Inc |
| DBA Doing business as | Eau Claire Internal Medicine |
| Authorized official | Cantave, Delgado |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 23rd, 2010 |
| 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 | 1447561527 | NPPES |
| South Carolina | MEDICAID | FQC031 | |
| South Carolina | MEDICAID | FQC141 | |
| South Carolina | MEDICAID | CBP018 |
Popular Providers
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Eau Claire Cooperative Health Center, Inc.
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Eau Claire Cooperative Health Center, Inc.
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