Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eau Claire Cooperative Health Center, Inc

Organization Developmental - Behavioral Pediatrics Physician · NPI 1023407996

Eau Claire Cooperative Health Center, Inc is a Developmental - Behavioral Pediatrics Physician in Columbia, South Carolina. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4601 Monticello Rd
Columbia, SC 29203
Phone: (803) 356-7102
Fax: (803) 356-7106
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Developmental - Behavioral Pediatrics Physician Taxonomy 2080P0006X

Record details

NPI number1023407996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimberly Tilley — Credentialing Manager · (804) 306-1203
Other names Eau Claire Developmental Clinic; Eau Claire Developmental Clinic
NPI enumeratedJanuary 15, 2015
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing addressPo Box 3788, Columbia, SC 29230-3788

Other providers in Columbia