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 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: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Feb 2, 2022, Nov 29, 2021 and 1 more (4 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 Dana Schultz, Cfo, 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 OfficialDana SchultzCfo · (305) 587-7375
Enumeration DateFebruary 3, 2021
Last NPPES UpdateOctober 12, 20264 updates tracked since enumeration
NPPES CertifiedOctober 12, 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

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 2

Next revalidation due by October 31, 2026

This provider holds 2 Medicare enrollments with upcoming revalidation dates. 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.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20040114000335Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
StateSouth CarolinaEnrollment IDO20220202002870Part A · Federally Qualified Health Center (FQHC)Due dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

144

Medicare 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, 2 practice at this address and 84 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 18

Nurse Practitioner68
Pediatric Medicine17
Family Practice11
Clinical Social Worker10
Mental Health Counselor9
Obstetrics/Gynecology9
Dentist6
Internal Medicine3
10 other specialties11

Nearest to this location (20)

See all 144
General Practice
NPI 1447201249
4808 COLONIAL DR
Columbia, SC 29203
(803) 888-1106
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1952067902
4808 COLONIAL DR
Columbia, SC 29203
(803) 888-1106
✔ PECOSSame address
Clinical Social Worker
NPI 1932716172
5110 FAIRFIELD RD
Columbia, SC 29203
(803) 893-7019
✔ PECOS✔ Accepts Medicare0.5 mi
Internal Medicine
NPI 1659366524
4605 MONTICELLO RD STE 3
Columbia, SC 29203
(803) 754-0151
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1558992701
4605 MONTICELLO RD
Columbia, SC 29203
(803) 252-3770
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1346659372
4605 MONTICELLO RD
Columbia, SC 29203
(803) 735-5590
✔ PECOS✔ Accepts Medicare0.8 mi
Pediatric Medicine
NPI 1144220559
4605 MONTICELLO RD
Columbia, SC 29203
(803) 252-7001
✔ PECOS0.8 mi
Nurse Practitioner
NPI 1740201417
4605 MONTICELLO RD
Columbia, SC 29203
(803) 252-7001
✔ PECOS0.8 mi
Mental Health Counselor
NPI 1073114666
4605 MONTICELLO RD STE 3
Columbia, SC 29203
(803) 754-0151
✔ PECOS0.8 mi
Clinical Social Worker
NPI 1588613517
4801 MONTICELLO RD
Columbia, SC 29203
(803) 754-0151
✔ PECOS✔ Accepts Medicare0.9 mi
Pediatric Medicine
NPI 1215937610
4605 MONTICELLO RD EAU CLAIRE COOPERATIVE HEALTH CENTER
Columbia, SC 29203
(803) 252-7001
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1487185484
4605 MONTICELLO RD STE 2
Columbia, SC 29203
(803) 753-5590
✔ PECOS✔ Accepts Medicare0.9 mi
Mental Health Counselor
NPI 1962014175
4605 MONTICELLO RD STE 3
Columbia, SC 29203
(803) 754-0151
✔ PECOS✔ Accepts Medicare0.9 mi
Gastroenterology
NPI 1629045505
4605 MONTICELLO RD BLDG A, STE.3
Columbia, SC 29203
(803) 754-0151
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1861798845
4605 MONTICELLO RD STE A3
Columbia, SC 29203
(803) 754-0151
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1992576987
4605 MONTICELLO RD STE A3
Columbia, SC 29203
(803) 754-0151
✔ PECOS✔ Accepts Medicare0.9 mi
Podiatry
NPI 1104129790
4605 MONTICELLO RD STE B2
Columbia, SC 29203
(803) 705-3172
✔ PECOS✔ Accepts Medicare0.9 mi
Mental Health Counselor
NPI 1376378000
4605 MONTICELLO RD BLDG B1
Columbia, SC 29203
(803) 714-0266
✔ PECOS✔ Accepts Medicare0.9 mi
Pediatric Medicine
NPI 1740264290
4605 MONTICELLO RD
Columbia, SC 29203
(803) 252-7001
✔ PECOS0.9 mi
Podiatry
NPI 1295726172
3800 N MAIN ST STE B
Columbia, SC 29203
(803) 705-3172
✔ PECOS✔ Accepts Medicare1.0 mi
See all 144 clinicians

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 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.

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), Eau Claire Cooperative Health Center, Inc. holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by October 31, 2026 (Non-DME Part B, South Carolina, Clinic/Group Practice). 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, 2 practice at this address and 84 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 8 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.