LAKE MONTICELLO FAMILY PRACTICE @MCCROREY LISTON
NPI 1841689288
Clinic/Center - Federally Qualified Health Center (FQHC) in Blair, 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 January 22, 2015

1978 STATE HIGHWAY 215 S, BLAIR, SC 29015(803) 402-6782(803) 635-6628 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 10, 2022, Dec 16, 2016, Feb 10, 2016 (3 updates tracked since 2016).

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About Lake Monticello Family Practice @mccrorey Liston NPPES

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

LAKE MONTICELLO FAMILY PRACTICE @MCCROREY LISTON (NPI 1841689288) is a healthcare organization registered as a federally qualified health center (fqhc) in Blair, South Carolina and active in the NPI registry since January 2015. The organization lists Delgado Cantave, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841689288

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameEAU CLAIRE COOPERATIVE HEALTH CENTER, INC.

Location Address1978 STATE HIGHWAY 215 SBlair, SC 29015-9443

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

Phone(803) 402-6782

Fax(803) 635-6628

Organization SubpartNo

Authorized OfficialDelgado CantaveCeo · (803) 733-5969

Enumeration DateJanuary 22, 2015

Last NPPES UpdateFebruary 10, 20223 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2022

✔ NPI 1841689288 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

1978 STATE HIGHWAY 215 S, Blair, SC 29015

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Other Names 1

Doing Business AsLake Monticello Family Practice @mccrorey Liston

Other Identifiers 3

MedicaidFQC031SC

MedicaidCBP018SC

MedicaidFQC180SC

Accepted Insurance

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

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 1841689288. It was assigned to this organization in the NPPES registry on January 22, 2015. The provider is doing business as Lake Monticello Family Practice @mccrorey Liston.

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

Eau Claire Cooperative Health Center, Inc. is located at 1978 State Highway 215 S, Blair, SC 29015. The listed phone number is (803) 402-6782.

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.

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 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.