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LAKE MONTICELLO FAMILY PRACTICE
NPI 1326267592
Clinic/Center - Federally Qualified Health Center (FQHC) in Jenkinsville, SC

Active since April 25, 2007
9017 STATE HIGHWAY 215 S, JENKINSVILLE, SC 29065(803) 298-2068(803) 298-2069 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2022, Dec 16, 2016, Aug 26, 2016 and 1 more (4 updates tracked since 2016).

About Lake Monticello Family Practice NPPES

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

LAKE MONTICELLO FAMILY PRACTICE (NPI 1326267592) is a healthcare organization registered as a federally qualified health center (fqhc) in Jenkinsville, South Carolina and active in the NPI registry since April 2007. The organization lists Delgado Cantave, Ceo, as its authorized official.

NPPES Registry Identity

NPI1326267592
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Location Address9017 STATE HIGHWAY 215 SJenkinsville, SC 29065-9428
Mailing AddressPo Box 3788Columbia, SC 29230-3788 · (803) 753-5591 · Fax (803) 753-5591
Phone(803) 298-2068
Fax(803) 298-2069
Organization SubpartNo
Authorized OfficialDelgado CantaveCeo · (803) 733-5969
Enumeration DateApril 25, 2007
Last NPPES UpdateFebruary 3, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1326267592 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
9017 STATE HIGHWAY 215 S, Jenkinsville, SC 29065
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Other Names 1

Doing Business AsLake Monticello Family Practice

Other Identifiers 3

MedicaidFQC126SC
MedicaidCBP018SC
MedicaidFQC031SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LISA MARIE CREEL FNP-BC
Nurse Practitioner (Family)
9017 STATE HIGHWAY 215 S
JENKINSVILLE, SC 29065
Fairfield County (803) 296-2068

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 1326267592. It was assigned to this organization in the NPPES registry on April 25, 2007. The provider is doing business as Lake Monticello Family Practice.

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

Eau Claire Cooperative Health Center, Inc. is located at 9017 State Highway 215 S, Jenkinsville, SC 29065. The listed phone number is (803) 298-2068.

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.

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 February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.