LITTLE MOUNTAIN PEDIATRICS AND FAMILY PRACTICE
NPI 1669029294
Clinic/Center - Federally Qualified Health Center (FQHC) in Little Mountain, 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 August 19, 2019

99 N MILL ST, LITTLE MOUNTAIN, SC 29075(803) 945-1005 Get Directions Write a Review

NPPES record last updated: September 1, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 1, 2020, May 27, 2020, Aug 19, 2019 (3 updates tracked since 2019).

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About Little Mountain Pediatrics And Family Practice NPPES

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

LITTLE MOUNTAIN PEDIATRICS AND FAMILY PRACTICE (NPI 1669029294) is a healthcare organization registered as a federally qualified health center (fqhc) in Little Mountain, South Carolina and active in the NPI registry since August 2019. The organization lists Delgado Cantave, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669029294

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameEAU CLAIRE COOPERATIVE HEALTH CENTER INC.

Location Address99 N MILL STLittle Mountain, SC 29075-8788

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

Phone(803) 945-1005

Organization SubpartNo

Authorized OfficialDelgado CantaveCeo · (803) 733-5969

Enumeration DateAugust 19, 2019

Last NPPES UpdateSeptember 1, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2020

✔ NPI 1669029294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X

99 N MILL ST, Little Mountain, SC 29075

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Other Names 1

Doing Business AsLittle Mountain Pediatrics And Family Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DAVID EDWARD LEWIS LPC

Counselor (Mental Health)