Eau Claire Cooperative Health Center, Inc.
NPI #1023407996 in Columbia, South Carolina
Provider Information
- NPI Number
- 1023407996
- Entity Type
- Organization
- Organization Name
- Eau Claire Cooperative Health Center, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jan 15, 2015
- Last Updated
- Feb 3, 2022
Practice Location
- Address
- 4601 MONTICELLO ROAD
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29203
- Phone
- (803) 356-7102
Authorized Official
- Name
- DELGADO CANTAVE
- Title
- CEO
- Phone
- (803) 733-5969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Developmental - Behavioral Pediatrics — Developmental - Behavioral Pediatrics |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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