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Eau Claire Cooperative Health Center, Inc.

Organization Active NPI General Practice Dentistry · Pelion, SC

NPI 1891148367 · NPPES record last updated Feb 10, 2022

Key facts

NPI
1891148367
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Practice address
8063 Edmund Hwy
Pelion, SC 29123-9805
Phone
(803) 894-3736
Fax
(803) 894-5315
NPI assigned
Jul 19, 2016
Organization subpart
No

Authorized official

Name
Delgado Cantave
Title
Ceo
Phone
(803) 733-5969

Corporate family (same tax ID) 41

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

View all 41

National Provider Directory

Tax ID family
Eau Claire Cooperative Health Center Inc (42 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP		 1223G0001X Yes

Addresses

Primary practice location

8063 Edmund Hwy
Pelion, SC 29123-9805

Mailing address

PO Box 3788
Columbia, SC 29230-3788
Phone (803) 733-5969

Other identifiers

IdentifierTypeStateIssuer
ZA9096MedicaidSC

Other names

  • Pelion Family Dentistry Doing business as

Other providers in Pelion, SC

All providers in Pelion, SC · General Practice Dentistry in South Carolina

Sources for this page

Verify at the official NPI Registry.