EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
NPI 1053622050
Clinic/Center - Federally Qualified Health Center (FQHC) in Columbia, SC
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 1053622050), doing business as Waverly Family Practice, is a healthcare organization registered as a federally qualified health center (fqhc) in Columbia, South Carolina and active in the NPI registry since June 2010. The organization lists Dana Schultz, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eau Claire Cooperative Health Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
144Medicare enrollment records show 144 clinicians reassign Medicare billing to Eau Claire Cooperative Health Center, Inc., which bills Medicare for the services they deliver. Of these, 17 practice at this address and 85 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 144Columbia, SC 29204
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 1053622050. It was assigned to this organization in the NPPES registry on June 24, 2010. The provider is doing business as Waverly Family Practice.
Where is Eau Claire Cooperative Health Center, Inc. located?
Eau Claire Cooperative Health Center, Inc. is located at 1228 Harden St Ste.C, Columbia, SC 29204. The listed phone number is (803) 748-1181.
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.
Is Eau Claire Cooperative Health Center, Inc. enrolled in Medicare?
Yes. Eau Claire Cooperative Health Center, Inc. is registered in the Medicare PECOS enrollment system.
When is Eau Claire Cooperative Health Center, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Eau Claire Cooperative Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 144 clinicians in 18 Medicare specialties reassign their Medicare billing to Eau Claire Cooperative Health Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (68), Pediatric Medicine (17) and Family Practice (11). Of these, 17 practice at this address and 85 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Eau Claire Cooperative Health Center, Inc. accept?
Health plans from First Choice Next and Molina Healthcare list Eau Claire Cooperative Health Center, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Eau Claire Cooperative Health Center, Inc. was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eau Claire Cooperative Health Center, Inc. · NPI 1053622050
Federally Qualified Health Center (FQHC) organization in Columbia, South Carolina. Organization record, active in the CMS NPPES registry since June 24, 2010.
## Identity
- **NPI:** 1053622050 (Entity type: Organization)
- **Enumerated:** June 24, 2010
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Waverly Family Practice (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dana Schultz, CFO
## Practice location
- **Address:** 1228 HARDEN ST, STE.C, Columbia, SC 29204-1800
- **Phone:** (803) 748-1181 · **Fax:** (803) 748-1185
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, South Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 144 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (68), Pediatric Medicine (17), Family Practice (11); 17 practice at this address and 85 within 10 miles; [full list](https://npiprofile.com/npi/1053622050/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2026
- **Other identifiers:** Medicaid CBP018 (SC); Medicaid FQC031 (SC); Medicaid FQC164 (SC)
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Source: [NPI Profile](https://npiprofile.com/npi/1053622050) · Data from the CMS NPPES public registry.