EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
NPI 1427649201
Clinic/Center - Federally Qualified Health Center (FQHC) in Columbia, SC

Active since February 03, 2021
4808 COLONIAL DR, COLUMBIA, SC 29203(803) 888-1106(803) 602-0035 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 2, 2022, Nov 29, 2021, Feb 3, 2021 (3 updates tracked since 2021).

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 1427649201), doing business as Columbia Community 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 February 2021. The organization lists Kimberly Tilley, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1427649201
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Location Address4808 COLONIAL DRColumbia, SC 29203-4260
Mailing AddressPo Box 3788Columbia, SC 29230-3788 · (803) 733-5969 · Fax (803) 978-5997
Fax(803) 602-0035
Organization SubpartNo
Authorized OfficialKimberly TilleyCredentialing Manager · (804) 306-1203
Enumeration DateFebruary 3, 2021
Last NPPES UpdateJune 24, 20263 updates tracked since enumeration
NPPES CertifiedJune 24, 2026
NPI 1427649201 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
4808 COLONIAL DR, Columbia, SC 29203

Other Names 1

Doing Business AsColumbia Community Family Practice

Other Providers at the Same Location NPPES 2

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

General Practice
4808 COLONIAL DR
COLUMBIA, SC 29203
Social Worker
4808 COLONIAL DR
COLUMBIA, SC 29203

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 1427649201. It was assigned to this organization in the NPPES registry on February 3, 2021. The provider is doing business as Columbia Community Family Practice.

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

Eau Claire Cooperative Health Center, Inc. is located at 4808 Colonial Dr, Columbia, SC 29203. The listed phone number is (803) 888-1106.

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.