Organization
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Active
Other names
Columbia Community Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DELGADO CANTAVE (CEO)
(803) 733-5969
Entity
Organization
Contact information
Practice address
4808 COLONIAL DR, COLUMBIA, SC 29203-4260
(803) 888-1106
(803) 602-0035
Mailing address
169 LAURELHURST AVE, COLUMBIA, SC 29210-3825
(803) 733-5969
(803) 978-5997
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/02/2022
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