EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
NPI 1457740789
Dentist - General Practice in Columbia, SC
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 1457740789), doing business as Eau Claire Family Dentistry, is a healthcare organization registered as a general practice in Columbia, South Carolina and active in the NPI registry since January 2015. The organization lists Dana Schultz, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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
Revalidation due by October 31, 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.
Clinicians Billing Medicare Through This Organization
144Medicare 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, 1 practice at this address and 83 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 18
Nearest to this location (20)
See all 144Columbia, SC 29203
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 1457740789. It was assigned to this organization in the NPPES registry on January 9, 2015. The provider is doing business as Eau Claire Family Dentistry.
Where is Eau Claire Cooperative Health Center, Inc. located?
Eau Claire Cooperative Health Center, Inc. is located at 3800 N Main St Ste. C, Columbia, SC 29203. The listed phone number is (803) 705-3169.
What is Eau Claire Cooperative Health Center, Inc.'s specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
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 Non-DME Part B enrollment for this organization (South Carolina, Clinic/Group Practice) is due for revalidation by October 31, 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.
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, 1 practice at this address and 83 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 7 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.
# Eau Claire Cooperative Health Center, Inc. · NPI 1457740789
General Practice organization in Columbia, South Carolina. Organization record, active in the CMS NPPES registry since January 9, 2015.
## Identity
- **NPI:** 1457740789 (Entity type: Organization)
- **Enumerated:** January 9, 2015
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Also known as:** Eau Claire Family Dentistry (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dana Schultz, CFO
## Practice location
- **Address:** 3800 N MAIN ST, STE. C, Columbia, SC 29203-6414
- **Phone:** (803) 705-3169 · **Fax:** (803) 705-3175
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, South Carolina, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 144 clinicians in 18 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (68), Pediatric Medicine (17), Family Practice (11); 1 practice at this address and 83 within 10 miles; [full list](https://npiprofile.com/npi/1457740789/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2026
- **Other identifiers:** Medicaid ZA9183 (SC)
---
Source: [NPI Profile](https://npiprofile.com/npi/1457740789) · Data from the CMS NPPES public registry.