NPIMap

Organization Active NPI

Eau Claire Cooperative Health Center ,Inc.

Doing business as Cooperative Health Teen and Young Adult Center

  • Federally Qualified Health Center (FQHC)
  • Columbia, SC
National Provider Identifier
1700728052
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
EAU CLAIRE COOPERATIVE HEALTH CENTER ,INC.
Doing business as
Cooperative Health Teen and Young Adult Center
Practice address
4809 Monticello Rd
Columbia, SC 29203-4124
Phone
(803) 888-1106
Fax
(803) 602-0035
NPI assigned
Apr 7, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dana Schultz
Title
Cfo
Phone
(305) 587-7375

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Family Medicine) Physician 207QA0000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

4809 Monticello Rd
Columbia, SC 29203-4124

Mailing address

4809 Monticello Rd
Columbia, SC 29203-4124
Phone (803) 888-1106

Other names 1

  • Cooperative Health Teen and Young Adult Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Winnsboro Pediatrics Famil44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Locations

4809 Monticello Rd
Columbia, SC 29203
Phone (803) 888-1106

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1700728052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 MONTICELLO RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292034124",
            "telephone_number": "803-888-1106",
            "fax_number": "803-602-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 MONTICELLO RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292034124",
            "telephone_number": "803-888-1106",
            "fax_number": "803-602-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAU CLAIRE COOPERATIVE HEALTH CENTER ,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "305-587-7375"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooperative Health Teen and Young Adult Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.