CAYCE WEST COLUMBIA PRIMARY CARE
NPI 1538674254
Clinic/Center - Federally Qualified Health Center (FQHC) in West Columbia, SC

Q: 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.

Active since December 04, 2017CLIA 42D2287182 · Microscopy

407 N BROWN ST, WEST COLUMBIA, SC 29169(803) 995-8936(803) 995-8851 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2022, Jan 2, 2019, Jan 12, 2018 and 1 more (4 updates tracked since 2017).

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About Cayce West Columbia Primary Care NPPES

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

CAYCE WEST COLUMBIA PRIMARY CARE (NPI 1538674254) is a healthcare organization registered as a federally qualified health center (fqhc) in West Columbia, South Carolina and active in the NPI registry since December 2017. The organization holds a CLIA Microscopy certificate valid through August 9, 2027 and lists Delgado Cantave, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538674254

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameEAU CLAIRE COOPERATIVE HEALTH CENTER INC.

Location Address407 N BROWN STWest Columbia, SC 29169-5710

Mailing AddressPo Box 3788Columbia, SC 29230-3788 · (803) 733-5969 · Fax (803) 753-5591

Phone(803) 995-8936

Fax(803) 995-8851

Organization SubpartNo

Authorized OfficialDelgado CantaveCeo · (803) 733-5969

Enumeration DateDecember 4, 2017

Last NPPES UpdateFebruary 3, 20224 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2022

✔ NPI 1538674254 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

407 N BROWN ST, West Columbia, SC 29169

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Other Names 1

Doing Business AsCayce West Columbia Primary Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and more.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 for Provider-Performed Microscopy Procedures (PPMP) 42D2287182

Cayce West Columbia Primary Care · West Columbia, SC

Active · expires Aug 9, 2027

CLIA Number42D2287182

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateAugust 10, 2025

Certificate Expiration DateAugust 9, 2027

Laboratory DirectorDr. Kadijah Jones

Laboratory Phone(803) 733-5969

Laboratory LocationCayce West Columbia Primary Care407 North Brown Street, West Columbia, SC 29169

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.

Other Providers at the Same Location NPPES 7

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

REBECCA HENTHORNE

Pharmacist