OrganizationActive
Eau Claire Cooperative Health Center, Inc.
NPI 1326267592 · Federally Qualified Health Center (FQHC) · Jenkinsville, SC
Provider details
- NPI number
- 1326267592
- 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
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9017 State Highway 215 S
Jenkinsville, SC 29065-9428
Phone: (803) 298-2068
Fax: (803) 298-2069
Street-level locationGet directions
Mailing address
Po Box 3788
Columbia, SC 29230-3788
Other names (DBA / former)
- Doing business as
- Lake Monticello Family Practice
- Doing business as
- Lake Monticello Family Practice
Registry dates
- Enumerated
- 2007-04-25
- 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.