NPI 1023407996

Eau Claire Cooperative Health Center, INC.

Organisation Federally Qualified Health Center (FQHC) Columbia, SC

Practice location

Address: 4601 Monticello Road, Columbia, SC 29203
Phone: (803) 356-7102
Fax: (803) 356-7106
Mailing address: PO Box 3788, Columbia, SC 29230-3788

Authorised official

Name: Kimberly Tilley
Title: Credentialing Manager
Phone: (804) 306-1203

Registered specialties (2)

Federally Qualified Health Center (FQHC) Primary

Ambulatory Health Care Facilities Taxonomy 261QF0400X

Other Clinic/Center providers in South Carolina →

Developmental - Behavioral Pediatrics Physician

Allopathic & Osteopathic Physicians Taxonomy 2080P0006X

Other Pediatrics providers in South Carolina →

Registry record

NPI: 1023407996
Entity type: Organization
NPI issued: 15 Jan 2015
Record last updated: 24 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.