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EAU CLAIRE INTERNAL MEDICINE
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: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2022, Dec 16, 2016, Oct 20, 2016 and 1 more (4 updates tracked since 2016).

About Eau Claire Internal Medicine NPPES

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

EAU CLAIRE INTERNAL MEDICINE (NPI 1447561527) 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 Delgado Cantave, Ceo, 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
Phone(803) 754-0151
Fax(803) 691-1778
Organization SubpartNo
Authorized OfficialDelgado CantaveCeo · (803) 733-5969
Enumeration DateJune 23, 2010
Last NPPES UpdateFebruary 3, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ 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
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Other Names 1

Doing Business AsEau Claire Internal Medicine

Other Identifiers 3

MedicaidFQC141SC
MedicaidFQC031SC
MedicaidCBP018SC

Accepted Insurance

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

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.

DR. KIMBERLY HIGHTOWER M.D.
Pediatrics
4605 MONTICELLO RD
COLUMBIA, SC 29203
Richland County (803) 252-7001
DAN ROBERT BODISON JR. MD
Pediatrics
4605 MONTICELLO RD, EAU CLAIRE COOPERATIVE HEALTH CENTER
COLUMBIA, SC 29203
Richland County (803) 252-7001
DR. STUART ARNIM HAMILTON MD
Pediatrics
4605 MONTICELLO RD, EAU CLAIRE COOPERATIVE HEALTH CENTER
COLUMBIA, SC 29203
Richland County (803) 252-5432
MERRY ANN IGNACIO MCKEOWN CPNP
Nurse Practitioner (Pediatrics)
4605 MONTICELLO RD
COLUMBIA, SC 29203
Richland County (803) 252-7001
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4605 MONTICELLO RD, BLDG A, STE.1
COLUMBIA, SC 29203
Richland County (803) 252-7001
MRS. RUBY M ALBERT MD
Pediatrics
4605 MONTICELLO RD
COLUMBIA, SC 29203
Richland County (803) 252-7001
MARY W KAYSE PNP
Nurse Practitioner (Pediatrics)
4605 MONTICELLO RD
COLUMBIA, SC 29203
Richland County (803) 252-7001
JENNIFER ERVIN
Nurse Practitioner (Family)
4605 MONTICELLO RD
COLUMBIA, SC 29203
Richland County (803) 735-5590

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.

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 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.