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EASTOVER FAMILY PRACTICE
NPI 1811294978
Clinic/Center - Federally Qualified Health Center (FQHC) in Eastover, SC

Active since February 24, 2011CLIA Certified · 2 labs
3041 OLD EASTOVER ROAD, EASTOVER, SC 29044(803) 353-8741(803) 353-8789 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2022, Oct 30, 2018, Dec 16, 2016 and 3 more (6 updates tracked since 2015).

About Eastover Family Practice NPPES

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

EASTOVER FAMILY PRACTICE (NPI 1811294978) is a healthcare organization registered as a federally qualified health center (fqhc) in Eastover, South Carolina and active in the NPI registry since February 2011. The organization holds 2 active CLIA laboratory certificates and lists Delgado Cantave, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811294978
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Location Address3041 OLD EASTOVER ROADEastover, SC 29044-2417
Mailing AddressPo Box 3788Columbia, SC 29230-3788 · (803) 733-5969 · Fax (803) 252-5624
Phone(803) 353-8741
Fax(803) 353-8789
Organization SubpartNo
Authorized OfficialDelgado CantaveCeo · (803) 733-5969
Enumeration DateFebruary 24, 2011
Last NPPES UpdateFebruary 10, 20226 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
✔ NPI 1811294978 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
3041 OLD EASTOVER ROAD, Eastover, SC 29044
Open in Google Maps ↗

Other Names 1

Doing Business AsEastover Family Practice

Other Identifiers 3

MedicaidCBP018SC
MedicaidFQC132SC
MedicaidFQC031SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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) 42D2287183

Eastover Family Practice · Eastover, SC
Active · expires Aug 9, 2027
CLIA Number42D2287183
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorTonia Wood
Laboratory Phone(803) 733-5969
Laboratory LocationEastover Family Practice3041 Old Eastover Road, Eastover, SC 29044
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 42D0723933

Eau Claire Cooperative Health Center · Eastover, SC
Active · expires Aug 31, 2026
CLIA Number42D0723933
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. Kyllan Hutchinson
Laboratory Phone(803) 353-8741
Laboratory LocationEau Claire Cooperative Health Center3041 Old Eastover Road, Eastover, SC 29044
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

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

EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Pharmacy
3041 OLD EASTOVER ROAD
EASTOVER, SC 29044
Richland County (803) 875-8010

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 1811294978. It was assigned to this organization in the NPPES registry on February 24, 2011. The provider is doing business as Eastover Family Practice.

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

Eau Claire Cooperative Health Center, Inc. is located at 3041 Old Eastover Road, Eastover, SC 29044. The listed phone number is (803) 353-8741.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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 February 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.