Eau Claire Coopertive Health Center, Inc.
NPI #1336460948 in Leesville, South Carolina
Provider Information
- NPI Number
- 1336460948
- Entity Type
- Organization
- Organization Name
- Eau Claire Coopertive Health Center, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 17, 2010
- Last Updated
- Oct 10, 2022
Practice Location
- Address
- 338 E COLUMBIA AVE
- Address 2
- SUITE B
- City
- Leesville
- State
- South Carolina
- ZIP Code
- 29070-9285
- Phone
- (803) 532-1580
Authorized Official
- Name
- DELGADO CANTAVE
- Title
- CEO
- Phone
- (803) 733-5969
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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