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 1447561527
Clinic/Center - Federally Qualified Health Center (FQHC) in Columbia, SC

Active since June 23, 2010CLIA 42D0907270 · Waiver
4605 MONTICELLO RD, BLDG A, STE.3, COLUMBIA, SC 29203(803) 754-0151(803) 691-1778 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2026, Feb 3, 2022, Dec 16, 2016 and 2 more (5 updates tracked since 2016).

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 1447561527), doing business as Eau Claire Internal Medicine, 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 holds a CLIA Waiver certificate valid through October 28, 2027 and lists Dana Schultz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1447561527
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAU CLAIRE COOPERATIVE HEALTH CENTER, INC
Location Address4605 MONTICELLO RD, BLDG A, STE.3Columbia, SC 29203-4156
Mailing AddressPo Box 3788Columbia, SC 29230-3788 · (803) 733-5969 · Fax (803) 753-5591
Fax(803) 691-1778
Organization SubpartNo
Authorized OfficialDana SchultzCfo · (305) 587-7375
Enumeration DateJune 23, 2010
Last NPPES UpdateOctober 12, 20265 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1447561527 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, Columbia, SC 29203

Other Names 1

Doing Business AsEau Claire Internal Medicine

Other Identifiers 3

MedicaidFQC031SC
MedicaidCBP018SC
MedicaidFQC141SC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status 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 November 30, 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.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20121224000020Part A · Federally Qualified Health Center (FQHC)Due dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D0907270

Eau Claire Internal Medicine · Columbia, SC
Active · expires Oct 28, 2027
CLIA Number42D0907270
Laboratory TypeMobile Laboratory
Certificate Effective DateOctober 29, 2025
Certificate Expiration DateOctober 28, 2027
Laboratory DirectorWoodrow Bell
Laboratory Phone(803) 754-0151
Laboratory LocationEau Claire Internal Medicine4605 Monticello Road, Columbia, SC 29203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Pediatrics
4605 MONTICELLO RD
COLUMBIA, SC 29203
Pediatrics
4605 MONTICELLO RD, EAU CLAIRE COOPERATIVE HEALTH CENTER
COLUMBIA, SC 29203
Pediatrics
4605 MONTICELLO RD, EAU CLAIRE COOPERATIVE HEALTH CENTER
COLUMBIA, SC 29203
Nurse Practitioner (Pediatrics)
4605 MONTICELLO RD
COLUMBIA, SC 29203
Clinic/Center (Federally Qualified Health Center (FQHC))
4605 MONTICELLO RD, BLDG A, STE.1
COLUMBIA, SC 29203
Pediatrics
4605 MONTICELLO RD
COLUMBIA, SC 29203
Nurse Practitioner (Pediatrics)
4605 MONTICELLO RD
COLUMBIA, SC 29203
Nurse Practitioner (Family)
4605 MONTICELLO RD
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 1447561527. It was assigned to this organization in the NPPES registry on June 23, 2010. The provider is doing business as Eau Claire Internal Medicine.

Where is Eau Claire Cooperative Health Center, Inc located?

Eau Claire Cooperative Health Center, Inc is located at 4605 Monticello Rd Bldg A, Ste.3, Columbia, SC 29203. The listed phone number is (803) 754-0151.

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 Part A enrollment for this organization (South Carolina, Federally Qualified Health Center (FQHC)) is due for revalidation by November 30, 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.

Does Eau Claire Cooperative Health Center, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D0907270) is associated with this NPI, valid through October 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eau Claire Cooperative Health Center, Inc accept?

Health plans from 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 18 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.