EAU CLAIRE INTERNAL MEDICINE
NPI 1447561527
Clinic/Center - Federally Qualified Health Center (FQHC) in Columbia, SC

NPI Status: Active since June 23, 2010

Contact Information

4605 MONTICELLO RD
BLDG A, STE.3
COLUMBIA, SC
ZIP 29203
Phone: (803) 754-0151
Fax: (803) 691-1778

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 42D0907270
  • CLIA Cert. Type: Mobile Laboratory
  • CLIA Exp. Date: 10-28-2027

About EAU CLAIRE INTERNAL MEDICINE

This page provides the complete NPI Profile along with additional information for Eau Claire Internal Medicine, a primary care provider established in Columbia, South Carolina operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1447561527 assigned on June 2010. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Eau Claire Internal Medicine. The authorized official of this NPI record is Delgado Cantave (Ceo)

NPI
1447561527
Provider Legal Name
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC
Other Organization Name
EAU CLAIRE INTERNAL MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4605 MONTICELLO RD BLDG A, STE.3 COLUMBIA, SC 29203
Location Phone
(803) 754-0151
Location Fax
(803) 691-1778
Mailing Address
PO BOX 3788 COLUMBIA, SC 29230
Mailing Phone
(803) 733-5969
Mailing Fax
(803) 691-1778
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2010
Last Update Date
02-03-2022
Code Navigator

A primary care provider (PCP) like Eau Claire Internal Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Molina Gold Core 1640 - HMO
  • Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
  • Molina Gold Core 1640 Plus with Adult Vision - HMO
  • Molina Gold Standard - HMO
  • Molina Gold Value - HMO
  • Molina Gold Value Plus with Adult Dental and Vision - HMO
  • Molina Gold Value Plus with Adult Vision - HMO
  • Molina Silver Core - HMO
  • Molina Silver Core Plus with Adult Dental and Vision - HMO
  • Molina Silver Core Plus with Adult Vision - HMO
  • Molina Silver Saver - HMO
  • Molina Silver Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DELGADO CANTAVE

Authorized Official Title
CEO
Authorized Official Phone
(803) 733-5969

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
FQC141MEDICAID (05)SC 
FQC031MEDICAID (05)SC 
CBP018MEDICAID (05)SC 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
42D0907270
Facility Type
Mobile Laboratory
Certificate Effective Date
October 29, 2025
Certificate Expiration Date
October 28, 2027
Laboratory Director
WOODROW BELL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Eau Claire Internal Medicine to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for EAU CLAIRE INTERNAL MEDICINE

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1447561527, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
4
Doubled → 8
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 1 → 2 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 8 + 7 + 1 + 0 + 6 + 2 + 5 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1447561527.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
4605 MONTICELLO RD, EAU CLAIRE COOPERATIVE HEALTH CENTER
COLUMBIA, SC 29203
Pediatrics
4605 MONTICELLO RD, EAU CLAIRE COOPERATIVE HEALTH CENTER
COLUMBIA, SC 29203
Pediatrics
4605 MONTICELLO RD
COLUMBIA, SC 29203
Nurse Practitioner (Pediatrics)
4605 MONTICELLO RD
COLUMBIA, SC 29203
Pharmacist
4605 MONTICELLO RD
COLUMBIA, SC 29203
Pediatrics
4605 MONTICELLO RD
COLUMBIA, SC 29203
Pediatrics
4605 MONTICELLO RD
COLUMBIA, SC 29203
Pharmacist
4605 MONTICELLO RD
COLUMBIA, SC 29203
Nurse Practitioner (Pediatrics)
4605 MONTICELLO RD
COLUMBIA, SC 29203
Nurse Practitioner (Pediatrics)
4605 MONTICELLO RD
COLUMBIA, SC 29203
Internal Medicine
4605 MONTICELLO RD
COLUMBIA, SC 29203
Nurse Practitioner (Family)
4605 MONTICELLO RD
COLUMBIA, SC 29203
Nurse Practitioner
4605 MONTICELLO RD
COLUMBIA, SC 29203
Pharmacist
4605 MONTICELLO RD
COLUMBIA, SC 29203
Counselor
4605 MONTICELLO RD, BLDG B, STE.1
COLUMBIA, SC 29203
Internal Medicine
4605 MONTICELLO RD, BLDG A, STE.3
COLUMBIA, SC 29203
Clinic/Center (Federally Qualified Health Center (FQHC))
4605 MONTICELLO RD, BLDG A, STE.1
COLUMBIA, SC 29203
Clinic/Center (Federally Qualified Health Center (FQHC))
4605 MONTICELLO RD, BLDGB, STE.2
COLUMBIA, SC 29203
Clinic/Center (Federally Qualified Health Center (FQHC))
4605 MONTICELLO RD, BUILDING B, STE.1
COLUMBIA, SC 29203
Pharmacy (Community/Retail Pharmacy)
4605 MONTICELLO RD
COLUMBIA, SC 29203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447561527, enumerated as an "organization" on June 23, 2010.

The provider is located at 4605 MONTICELLO RD BLDG A, STE.3 COLUMBIA, SC 29203 and the phone number is (803) 754-0151.

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.