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 1467795815
Clinic/Center - Federally Qualified Health Center (FQHC) in Columbia, SC

Active since April 04, 2013CLIA 42D2066684 · Microscopy
4605 MONTICELLO RD, BLDGB, STE.2, COLUMBIA, SC 29203(803) 753-5590(803) 753-5592 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 3, 2022, Feb 11, 2016 (3 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 1467795815), doing business as Eau Claire Walk-in, is a healthcare organization registered as a federally qualified health center (fqhc) in Columbia, South Carolina and active in the NPI registry since April 2013. The organization holds a CLIA Microscopy certificate valid through October 1, 2027 and lists Dana Schultz, Cfo, as its authorized official.

NPPES Registry Identity

NPI1467795815
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Location Address4605 MONTICELLO RD, BLDGB, STE.2Columbia, SC 29203-4156
Mailing AddressPo Box 3788Columbia, SC 29230-3788 · (803) 733-5969 · Fax (803) 753-5591
Fax(803) 753-5592
Organization SubpartNo
Authorized OfficialDana SchultzCfo · (305) 587-7375
Enumeration DateApril 4, 2013
Last NPPES UpdateOctober 12, 20263 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1467795815 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 Walk-in

Other Identifiers 3

MedicaidFQC179SC
MedicaidCBP018SC
MedicaidFQC031SC

Accepted Insurance

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.

StateEnrollment IDDue date
StateSouth CarolinaEnrollment IDO20040114000335Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
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, 16 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
Pediatric Medicine
NPI 1215937610
4605 MONTICELLO RD EAU CLAIRE COOPERATIVE HEALTH CENTER
Columbia, SC 29203
(803) 252-7001
✔ PECOSSame address
Nurse Practitioner
NPI 1487185484
4605 MONTICELLO RD STE 2
Columbia, SC 29203
(803) 753-5590
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1962014175
4605 MONTICELLO RD STE 3
Columbia, SC 29203
(803) 754-0151
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1629045505
4605 MONTICELLO RD BLDG A, STE.3
Columbia, SC 29203
(803) 754-0151
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1861798845
4605 MONTICELLO RD STE A3
Columbia, SC 29203
(803) 754-0151
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1992576987
4605 MONTICELLO RD STE A3
Columbia, SC 29203
(803) 754-0151
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1104129790
4605 MONTICELLO RD STE B2
Columbia, SC 29203
(803) 705-3172
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497394852
4605 MONTICELLO RD STE 3
Columbia, SC 29203
(803) 754-0151
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1376378000
4605 MONTICELLO RD BLDG B1
Columbia, SC 29203
(803) 714-0266
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1740264290
4605 MONTICELLO RD
Columbia, SC 29203
(803) 252-7001
✔ PECOSSame address
Internal Medicine
NPI 1659366524
4605 MONTICELLO RD STE 3
Columbia, SC 29203
(803) 754-0151
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558992701
4605 MONTICELLO RD
Columbia, SC 29203
(803) 252-3770
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1346659372
4605 MONTICELLO RD
Columbia, SC 29203
(803) 735-5590
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1144220559
4605 MONTICELLO RD
Columbia, SC 29203
(803) 252-7001
✔ PECOSSame address
Nurse Practitioner
NPI 1740201417
4605 MONTICELLO RD
Columbia, SC 29203
(803) 252-7001
✔ PECOSSame address
Mental Health Counselor
NPI 1073114666
4605 MONTICELLO RD STE 3
Columbia, SC 29203
(803) 754-0151
✔ PECOSSame address
Clinical Social Worker
NPI 1588613517
4801 MONTICELLO RD
Columbia, SC 29203
(803) 754-0151
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1295726172
3800 N MAIN ST STE B
Columbia, SC 29203
(803) 705-3172
✔ PECOS✔ Accepts Medicare0.7 mi
General Practice
NPI 1447201249
4808 COLONIAL DR
Columbia, SC 29203
(803) 888-1106
✔ PECOS✔ Accepts Medicare0.9 mi
Clinical Social Worker
NPI 1952067902
4808 COLONIAL DR
Columbia, SC 29203
(803) 888-1106
✔ PECOS0.9 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.

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 for Provider-Performed Microscopy Procedures (PPMP) 42D2066684

Eau Claire Walk In · Columbia, SC
Active · expires Oct 1, 2027
CLIA Number42D2066684
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorKeionda C. Caldwell
Laboratory Phone(803) 733-5969
Laboratory LocationEau Claire Walk In4605 Monticello Road Building B Ste 2, Columbia, SC 29203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 1467795815. It was assigned to this organization in the NPPES registry on April 4, 2013. The provider is doing business as Eau Claire Walk-In.

Where is Eau Claire Cooperative Health Center, Inc. located?

Eau Claire Cooperative Health Center, Inc. is located at 4605 Monticello Rd Bldgb, Ste.2, Columbia, SC 29203. The listed phone number is (803) 753-5590.

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 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, 16 practice at this address and 84 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 42D2066684) is associated with this NPI, valid through October 1, 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 First Choice Next 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 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.