BROOKLAND COMMUNITY PEDIATRICS
NPI 1629381678
Clinic/Center - Federally Qualified Health Center (FQHC) in West Columbia, SC

Active since July 20, 2010CLIA 42D0956061 · Waiver
500 N 12TH ST, WEST COLUMBIA, SC 29169(803) 217-0415(803) 939-1650 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 2 more (5 updates tracked since 2015).

About Brookland Community Pediatrics NPPES

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

BROOKLAND COMMUNITY PEDIATRICS (NPI 1629381678) is a healthcare organization registered as a federally qualified health center (fqhc) in West Columbia, South Carolina and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through May 2, 2027 and lists Delgado Cantave, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629381678
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Location Address500 N 12TH STWest Columbia, SC 29169-6502
Mailing AddressPo Box 3788Columbia, SC 29230-3788 · (803) 733-5969 · Fax (803) 753-5591
Fax(803) 939-1650
Organization SubpartNo
Authorized OfficialDelgado CantaveCeo · (803) 733-5969
Enumeration DateJuly 20, 2010
Last NPPES UpdateFebruary 3, 20225 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
NPI 1629381678 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
500 N 12TH ST, West Columbia, SC 29169

Other Names 1

Doing Business AsBrookland Community Pediatrics

Other Identifiers 4

MedicaidFQC151SC
Other421843SC · Group Ptan
MedicaidCBP018SC
MedicaidFQC031SC

Accepted 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 42D0956061

Brookland Community Pediatrics · West Columbia, SC
Active · expires May 2, 2027
CLIA Number42D0956061
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMay 3, 2025
Certificate Expiration DateMay 2, 2027
Laboratory DirectorAprel Barnes
Laboratory Phone(803) 733-5969
Laboratory LocationBrookland Community Pediatrics500 North 12th Street, West Columbia, SC 29169
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 3

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

Pediatrics
500 N 12TH ST
WEST COLUMBIA, SC 29169
Student in an Organized Health Care Education/Training Program
500 N 12TH ST
WEST COLUMBIA, SC 29169
Physician Assistant
500 N 12TH ST
WEST COLUMBIA, SC 29169

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 1629381678. It was assigned to this organization in the NPPES registry on July 20, 2010. The provider is doing business as Brookland Community Pediatrics.

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

Eau Claire Cooperative Health Center, Inc. is located at 500 N 12th St, West Columbia, SC 29169. The listed phone number is (803) 217-0415.

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 42D0956061) is associated with this NPI, valid through May 2, 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.