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Organization
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Active
Organization
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Active
Other names
St. Lawrence Place
Organization subpart
No
Provider details
NPI number
Authorized official
STUART A. HAMILTON M.D. (CEO)
(803) 733-5969
Entity
Organization
Contact information
Practice address
2400 WAITES RD, COLUMBIA, SC 29204-1325
(803) 708-4861
(803) 753-5591
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 753-5591
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
01/22/2015
Last updated
02/10/2022
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