NPI: 1588053938

EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.

Download in txt | pdf | json

• Entity Type: Organization
• Last Observed in the System¹ on:
• First Entered in the System¹ on: 2015-01-22
• Medicare Revalidation Due Date²: Not Available
• Certified the records on: 2022-02-03
• Federal Tax ID (TIN or EIN)⁵: 57-0965445 
• NPPES Profile Page: https://npiregistry.cms.hhs.gov/provider-view/1588053938
• CMS Profile Page: https://data.cms.gov/tools/medicare-physician-other-practitioner-look-up-tool/provider/1588053938

Other IDs

• 2023-11-01 ~ Present, CCN in SC, 421050

Other Names

• 2018-07-08 ~ Present , Doing Business As, Transitions Center

Addresses

• Primary & Current, 2025 MAIN ST, COLUMBIA, SC 292012125

Taxonomies

• 2018-01-07 ~ Present ³ , Federally Qualified Health Center (FQHC) (261QF0400X), Primary
• 2018-01-07 ~ Present ³ , Family Medicine Physician (207Q00000X), Other

Orgs. with the Same Practice Address (1)

The list below shows the Organization Entities (Entity Type Code: 2) with the same practice addresses. They may be co-located businesses.

• MIDLANDS HOUSING ALLIANCE INC-TRANSITIONS (1962915264)

Notes

1. https://nppes.cms.hhs.gov/#/
2. https://data.cms.gov/tools/medicare-revalidation-list
3. Our records go back to 2018-01-07, and any records preceding this date are not captured. Please regard 2018-01-07 as the earliest date we could verify the records back then, not as the actual date for the time range.
4. https://openpaymentsdata.cms.gov/
5. The information is based on the UnitedHealthcare Transparency in Coverage site.