{"npi":"1902176183","type":"NPI-2","status":"active","name":{"display":"Eau Claire Cooperative Health Center, Inc.","other":[],"organization_name":"EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.","authorised_official":"Delgado Cantave"},"specialty":{"primary_taxonomy":"261QC1500X","primary_taxonomy_description":"Community Health Clinic/Center","slug":"community-health-clinic-center","schema_org_specialty":null,"all":[{"code":"261QC1500X","description":"Community Health Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"9023 GARNERS FERRY RD","city":"HOPKINS","state":"SC","postal_code":"290619540","country_code":"US","phone":"8039781848","fax":"8039781852"},{"purpose":"MAILING","street_1":"PO BOX 3788","city":"COLUMBIA","state":"SC","postal_code":"292303788","country_code":"US","phone":"8037535591","fax":"8037535591"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"CBP018","state":"SC","issuer":null},{"type_code":"05","label":"Medicaid","value":"FQC031","state":"SC","issuer":null},{"type_code":"05","label":"Medicaid","value":"FQC152","state":"SC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20121030000274","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"SC","pac_id":"3274434220"}]},"enumeration_date":"2012-01-05","last_updated":"2021-02-08","_meta":{"source":"NPPES","snapshot_date":"2021-02-08","doc_url":"https://findmynpi.com/api"}}