OrganizationActive
Eau Claire Cooperative Health Center, Inc.
NPI 1053622050 · Federally Qualified Health Center (FQHC) · Columbia, SC
Provider details
- NPI number
- 1053622050
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Delgado Cantave, Ceo(803) 733-5969
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1228 Harden St
Ste.c
Columbia, SC 29204-1800
Phone: (803) 748-1181
Fax: (803) 748-1185
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3788
Columbia, SC 29230-3788
Other names (DBA / former)
- Doing business as
- Waverly Family Practice
- Doing business as
- Waverly Family Practice
Registry dates
- Enumerated
- 2010-06-24
- Last updated
- 2022-02-03
- Certified
- 2022-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.