Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EAU CLAIRE COOPERATIVE HEALTH CENTER INC.
NPI 1235753914
Clinic/Center - Federally Qualified Health Center (FQHC) in Columbia, SC

Q: 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.

Active since May 29, 2020

4605 MONTICELLO RD BLDG C, COLUMBIA, SC 29203(803) 356-7102 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 1235753914), doing business as Eau Claire Family Dentistry At Monticello, is a healthcare organization registered as a federally qualified health center (fqhc) in Columbia, South Carolina and active in the NPI registry since May 2020. The organization lists Kimberly M Tilley, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1235753914

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameEAU CLAIRE COOPERATIVE HEALTH CENTER INC.

Location Address4605 MONTICELLO RD BLDG CColumbia, SC 29203-4156

Mailing AddressPo Box 3788Columbia, SC 29230-3788 · (803) 733-5969

Phone(803) 356-7102

Organization SubpartNo

Authorized OfficialKimberly M TilleyCredentialing Manager · (804) 306-1203

Enumeration DateMay 29, 2020

Last NPPES UpdateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1235753914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

4605 MONTICELLO RD BLDG C, Columbia, SC 29203

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Other Names 1

Doing Business AsEau Claire Family Dentistry At Monticello

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 1235753914. It was assigned to this organization in the NPPES registry on May 29, 2020. The provider is doing business as Eau Claire Family Dentistry at Monticello.

Where is Eau Claire Cooperative Health Center Inc. located?

Eau Claire Cooperative Health Center Inc. is located at 4605 Monticello Rd Bldg C, 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 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 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.