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RIDGEWAY PEDIATRICS, FAMILY & DENTAL PRACTICE
NPI 1760703250
Clinic/Center - Federally Qualified Health Center (FQHC) in Ridgeway, SC

Active since June 18, 2010
755 US HIGHWAY 21 S, RIDGEWAY, SC 29130(803) 337-2920(803) 337-3010 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 19, 2021, Mar 5, 2021, Feb 8, 2021 and 1 more (4 updates tracked since 2016).

About Ridgeway Pediatrics, Family & Dental Practice NPPES

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

RIDGEWAY PEDIATRICS, FAMILY & DENTAL PRACTICE (NPI 1760703250) is a healthcare organization registered as a federally qualified health center (fqhc) in Ridgeway, South Carolina and active in the NPI registry since June 2010. The organization lists Delgado Cantave, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760703250
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Location Address755 US HIGHWAY 21 SRidgeway, SC 29130-6844
Mailing AddressPo Box 3788Columbia, SC 29230-3788 · (803) 733-5969 · Fax (803) 753-5591
Phone(803) 337-2920
Fax(803) 337-3010
Organization SubpartNo
Authorized OfficialDelgado CantaveCeo · (803) 733-5969
Enumeration DateJune 18, 2010
Last NPPES UpdateMarch 19, 20214 updates tracked since enumeration
NPPES CertifiedMarch 19, 2021
✔ NPI 1760703250 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
755 US HIGHWAY 21 S, Ridgeway, SC 29130
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Other Names 1

Doing Business AsRidgeway Pediatrics, Family & Dental Practice

Other Identifiers 3

MedicaidCBP018SC
MedicaidFQC176SC
MedicaidFQC031SC

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.

SHARRELL TONYA ODOM NP
Nurse Practitioner (Family)
755 US HIGHWAY 21 S
RIDGEWAY, SC 29130
Fairfield County (803) 337-2920
ANGELA EVANS-MORALES NP
Nurse Practitioner (Gerontology)
755 US HIGHWAY 21 S
RIDGEWAY, SC 29130
Fairfield County (803) 337-2920
LOUQUIS CANTY BELK
Dentist (General Practice)
755 US HIGHWAY 21 S
RIDGEWAY, SC 29130
Fairfield County (803) 337-2920
KIMBERLY D SMITH DDS
Dentist (General Practice)
755 US HIGHWAY 21 S
RIDGEWAY, SC 29130
Fairfield County (803) 337-2920
JANDRETTE ATAYAE RHOE MD
Family Medicine
755 US HIGHWAY 21 S
RIDGEWAY, SC 29130
Fairfield County (803) 337-2920
DARIEN HARRIS PA
Physician Assistant
755 US HIGHWAY 21 S
RIDGEWAY, SC 29130
Fairfield County (803) 337-2920

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 1760703250. It was assigned to this organization in the NPPES registry on June 18, 2010. The provider is doing business as Ridgeway Pediatrics, Family & Dental Practice.

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

Eau Claire Cooperative Health Center, Inc. is located at 755 Us Highway 21 S, Ridgeway, SC 29130. The listed phone number is (803) 337-2920.

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.

When was this NPI record last updated?

The NPPES record for Eau Claire Cooperative Health Center, Inc. was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.