| Organization Name: | EAU CLAIRE COOPERATIVE HEALTH CENTERS, INC. |
| NPI Number: | 1003113168 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STUART A HAMILTON (CEO) |
| Mailing Address: | 1136 Kincaid Bridge Rd Ste. A Winnsboro |
| State: | SC US |
| Postal Code: | 291807116 |
| Phone Number: | 8036351052 |
| Fax Number: | 8037129724 |
| NPI Enumeration Date: | 02/24/2011 |
| NPI Last Update Date: | 02/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |