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EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
NPI 1023407996
Clinic/Center - Federally Qualified Health Center (FQHC) in Columbia, SC

Active since January 15, 2015
4601 MONTICELLO ROAD, COLUMBIA, SC 29203(803) 356-7102(803) 356-7106 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2022, Dec 16, 2016, Oct 20, 2016 and 1 more (4 updates tracked since 2016).

About Eau Claire Cooperative Health Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. (NPI 1023407996), doing business as Eau Claire Developmental Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Columbia, South Carolina and active in the NPI registry since January 2015. The organization lists Kimberly Tilley, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1023407996
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Location Address4601 MONTICELLO ROADColumbia, SC 29203
Mailing AddressPo Box 3788Columbia, SC 29230-3788 · (803) 733-5969 · Fax (803) 753-5591
Phone(803) 356-7102
Fax(803) 356-7106
Organization SubpartNo
Authorized OfficialKimberly TilleyCredentialing Manager · (804) 306-1203
Enumeration DateJanuary 15, 2015
Last NPPES UpdateJune 24, 20264 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
✔ NPI 1023407996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X
4601 MONTICELLO ROAD, Columbia, SC 29203
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Other Names 1

Doing Business AsEau Claire Developmental Clinic

Other Identifiers 3

MedicaidCBP018SC
MedicaidFQC031SC
MedicaidFQC181SC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eau Claire Cooperative Health Center, Inc.'s NPI number?

The NPI number for Eau Claire Cooperative Health Center, Inc. is 1023407996. It was assigned to this organization in the NPPES registry on January 15, 2015. The provider is doing business as Eau Claire Developmental Clinic.

Where is Eau Claire Cooperative Health Center, Inc. located?

Eau Claire Cooperative Health Center, Inc. is located at 4601 Monticello Road, Columbia, SC 29203. The listed phone number is (803) 356-7102.

What is Eau Claire Cooperative Health Center, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Eau Claire Cooperative Health Center, Inc. was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.