Organization · Type 2 NPI
Eau Claire Cooperative Health Center ,inc.
Federally Qualified Health Center (FQHC) · Columbia, SC
NPI number
1700728052
Active
Practice location
4809 Monticello Rd
Columbia, SC 29203-4124
Fax (803) 602-0035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1700728052
Eau Claire Cooperative Health Center ,inc.'s National Provider Identifier is 1700728052, issued on Apr 7, 2026. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Columbia, SC. The record was last updated on Oct 12, 2026.