Organization
EAU CLAIRE COOPERATIVE HEALTH CENTER INC.
Active
Other names
Cayce West Columbia Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DELGADO CANTAVE (CEO)
(803) 733-5969
Entity
Organization
Contact information
Practice address
407 N BROWN ST, WEST COLUMBIA, SC 29169-5710
(803) 995-8936
(803) 995-8851
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 733-5969
(803) 753-5591
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
02/03/2022
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