Organization
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Active
Other names
Transitions Center
Organization subpart
No
Provider details
NPI number
Authorized official
DELGADO CANTAVE (CEO)
(803) 733-5969
Entity
Organization
Contact information
Practice address
2025 MAIN ST, COLUMBIA, SC 29201-2125
(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
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/22/2015
Last updated
02/03/2022
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