EAU CLAIRE BEHAVIORAL MEDICINE
NPI 1992018949
Clinic/Center - Federally Qualified Health Center (FQHC) in Columbia, SC

Active since July 20, 2010CLIA 42D2048687 · Waiver
4605 MONTICELLO RD, BUILDING B, STE.1, COLUMBIA, SC 29203(803) 714-0266(803) 753-6333 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, Dec 16, 2016, Oct 25, 2016 and 1 more (4 updates tracked since 2016).

About Eau Claire Behavioral Medicine NPPES

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

EAU CLAIRE BEHAVIORAL MEDICINE (NPI 1992018949) is a healthcare organization registered as a federally qualified health center (fqhc) in Columbia, South Carolina and active in the NPI registry since July 2010. The organization holds a CLIA Waiver certificate valid through October 21, 2026 and lists Delgado Cantave, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992018949
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameEAU CLAIRE COOPERATIVE HEALTH CENTER, INC
Location Address4605 MONTICELLO RD, BUILDING B, STE.1Columbia, SC 29203-4156
Mailing AddressPo Box 3788Columbia, SC 29230-3788 · (803) 753-5591 · Fax (803) 753-5591
Fax(803) 753-6333
Organization SubpartNo
Authorized OfficialDelgado CantaveCeo · (803) 733-5969
Enumeration DateJuly 20, 2010
Last NPPES UpdateFebruary 10, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2022
NPI 1992018949 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
4605 MONTICELLO RD, Columbia, SC 29203

Other Names 1

Doing Business AsEau Claire Behavioral Medicine

Other Identifiers 3

MedicaidCBP018SC
MedicaidFQC187SC
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 42D2048687

Eau Claire Behavioral Medicine · Columbia, SC
Active · expires Oct 21, 2026
CLIA Number42D2048687
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 22, 2024
Certificate Expiration DateOctober 21, 2026
Laboratory DirectorMillissa P. Davis
Laboratory Phone(803) 733-5969
Laboratory LocationEau Claire Behavioral Medicine4605 Monticello Road, Building B, Suite 1, Columbia, SC 29203
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 20

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

Pediatrics
4605 MONTICELLO RD
COLUMBIA, SC 29203
Pediatrics
4605 MONTICELLO RD, EAU CLAIRE COOPERATIVE HEALTH CENTER
COLUMBIA, SC 29203
Pediatrics
4605 MONTICELLO RD, EAU CLAIRE COOPERATIVE HEALTH CENTER
COLUMBIA, SC 29203
Nurse Practitioner (Pediatrics)
4605 MONTICELLO RD
COLUMBIA, SC 29203
Clinic/Center (Federally Qualified Health Center (FQHC))
4605 MONTICELLO RD, BLDG A, STE.1
COLUMBIA, SC 29203
Pediatrics
4605 MONTICELLO RD
COLUMBIA, SC 29203
Nurse Practitioner (Pediatrics)
4605 MONTICELLO RD
COLUMBIA, SC 29203
Nurse Practitioner (Family)
4605 MONTICELLO RD
COLUMBIA, SC 29203

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 1992018949. It was assigned to this organization in the NPPES registry on July 20, 2010. The provider is doing business as Eau Claire Behavioral Medicine.

Where is Eau Claire Cooperative Health Center, Inc located?

Eau Claire Cooperative Health Center, Inc is located at 4605 Monticello Rd Building B, Ste.1, Columbia, SC 29203. The listed phone number is (803) 714-0266.

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 42D2048687) is associated with this NPI, valid through October 21, 2026. 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 BlueCross BlueShield of South Carolina and 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.