Organization
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Active
Other names
Toby's Place
Organization subpart
No
Provider details
NPI number
Authorized official
DELGADO CANTAVE (CEO)
(803) 733-5969
Entity
Organization
Contact information
Practice address
5938 TWO NOTCH RD, COLUMBIA, SC 29223-7225
(803) 888-1105
(803) 888-1108
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
01/19/2021
Last updated
02/10/2022
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