Organization
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Active
Other names
Hopkins Pediatrics and Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DELGADO CANTAVE (CEO)
(803) 733-5969
Entity
Organization
Contact information
Practice address
9023 GARNERS FERRY RD, HOPKINS, SC 29061-9540
(803) 978-1848
(803) 978-1852
Mailing address
PO BOX 3788, COLUMBIA, SC 29230-3788
(803) 753-5591
(803) 753-5591
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CBP018
—
SC
05
—
FQC031
—
SC
05
—
FQC152
—
SC
Enumeration date
01/05/2012
Last updated
02/08/2021
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