EAU CLAIRE BEHAVIORAL MEDICINE
NPI 1992018949
Clinic/Center - Federally Qualified Health Center (FQHC) in Columbia, SC

NPI Status: Active since July 20, 2010

Contact Information

4605 MONTICELLO RD
BUILDING B, STE.1
COLUMBIA, SC
ZIP 29203
Phone: (803) 714-0266
Fax: (803) 753-6333

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance

About EAU CLAIRE BEHAVIORAL MEDICINE

This page provides the complete NPI Profile along with additional information for Eau Claire Behavioral Medicine, a primary care provider established in Columbia, South Carolina operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1992018949 assigned on July 2010. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Eau Claire Behavioral Medicine. The authorized official of this NPI record is Delgado Cantave Md (Ceo)

NPI
1992018949
Provider Legal Name
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC
Other Organization Name
EAU CLAIRE BEHAVIORAL MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4605 MONTICELLO RD BUILDING B, STE.1 COLUMBIA, SC 29203
Location Phone
(803) 714-0266
Location Fax
(803) 753-6333
Mailing Address
PO BOX 3788 COLUMBIA, SC 29230
Mailing Phone
(803) 753-5591
Mailing Fax
(803) 753-6333
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2010
Last Update Date
02-10-2022
Code Navigator

A primary care provider (PCP) like Eau Claire Behavioral Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Direction Silver 1 - POS
  • Blue Direction Silver 1 + Adult Vision - POS
  • Blue Direction Silver 2 - POS
  • Blue Direction Standard Gold - POS
  • Blue Direction Standard Silver - POS
  • Blue VirtuConnect Bronze 1 - EPO
  • Blue VirtuConnect Gold 1 - EPO
  • Blue VirtuConnect Silver 1 - EPO
  • BlueEssentials Bronze 4 - EPO
  • BlueEssentials Bronze 6 - EPO
  • BlueEssentials Catastrophic 1 - EPO
  • BlueEssentials Gold 1 - EPO
  • BlueEssentials Gold 5 - EPO
  • BlueEssentials Silver 14 - EPO
  • BlueEssentials Silver 14 + Adult Vision - EPO
  • BlueEssentials Silver 39 - EPO
  • BlueEssentials Standard Expanded Bronze - EPO
  • BlueEssentials Standard Gold - EPO
  • BlueEssentials Standard Silver - EPO
  • BlueExtend PPO HD Bronze 1 - PPO
  • First Choice Next Bronze Essential - HMO
  • First Choice Next Bronze Premier - HMO
  • First Choice Next Bronze Signature - HMO
  • First Choice Next Gold Deluxe - HMO
  • First Choice Next Gold Signature - HMO
  • First Choice Next Silver Deluxe - HMO
  • First Choice Next Silver Premier - HMO
  • First Choice Next Silver Signature - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DELGADO CANTAVE MD

Authorized Official Title
CEO
Authorized Official Phone
(803) 733-5969

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CBP018MEDICAID (05)SC 
FQC187MEDICAID (05)SC 
FQC031MEDICAID (05)SC 

Reviews for EAU CLAIRE BEHAVIORAL MEDICINE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992018949
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29182011698
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 0 + 1 + 1 + 6 + 9 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1992018949 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215937784DR. STUART ARNIM HAMILTON MD
Individual
Pediatrics4605 MONTICELLO RD EAU CLAIRE COOPERATIVE HEALTH CENTER
COLUMBIA, SC 29203
(803) 252-5432
1215937610 DAN ROBERT BODISON JR. MD
Individual
Pediatrics4605 MONTICELLO RD EAU CLAIRE COOPERATIVE HEALTH CENTER
COLUMBIA, SC 29203
(803) 252-7001
1144220559DR. KIMBERLY HIGHTOWER M.D.
Individual
Pediatrics4605 MONTICELLO RD
COLUMBIA, SC 29203
(803) 252-7001
1326048349 MARY W KAYSE PNP
Individual
Nurse Practitioner (Pediatrics)4605 MONTICELLO RD
COLUMBIA, SC 29203
(803) 252-7001
1841286481 VALENCIA GISELLE GRAY-WILLIAMS PHARM.D.
Individual
Pharmacist4605 MONTICELLO RD
COLUMBIA, SC 29203
(803) 252-3770
1295721009MRS. RUBY M ALBERT MD
Individual
Pediatrics4605 MONTICELLO RD
COLUMBIA, SC 29203
(803) 252-7001
1740264290DR. LYNN L. WILSON MD
Individual
Pediatrics4605 MONTICELLO RD
COLUMBIA, SC 29203
(803) 252-7001
1609835602DR. WILLIAM BRYAN NORRIS PHARM.D.
Individual
Pharmacist4605 MONTICELLO RD
COLUMBIA, SC 29203
(803) 252-3770
1740201417MRS. JEANINE KHOURY
Individual
Nurse Practitioner (Pediatrics)4605 MONTICELLO RD
COLUMBIA, SC 29203
(803) 252-7001
1235467150 MERRY ANN IGNACIO MCKEOWN CPNP
Individual
Nurse Practitioner (Pediatrics)4605 MONTICELLO RD
COLUMBIA, SC 29203
(803) 252-7001
1700168028 DONALD R SAMPSON M.D.
Individual
Internal Medicine4605 MONTICELLO RD
COLUMBIA, SC 29203
(803) 754-0151
1861798845 ELIZABETH WAGONER KNIGHT N.P.
Individual
Nurse Practitioner (Family)4605 MONTICELLO RD
COLUMBIA, SC 29203
(803) 754-0151
1982951000 JULIE LYNN BRASHER APRN
Individual
Nurse Practitioner4605 MONTICELLO RD
COLUMBIA, SC 29203
(803) 754-0151
1265641419 SARAH M THOMPSON MD
Individual
Pediatrics4605 MONTICELLO RD BUILDING A, STE. 1
COLUMBIA, SC 29203
(803) 748-7002
1295127868 PAUL POTYLICKI MS, LPC
Individual
Counselor (Professional)4605 MONTICELLO RD BLDG B, STE.1
COLUMBIA, SC 29203
(803) 714-0266
1881858348 BETTINA ROMEUS RPH
Individual
Pharmacist4605 MONTICELLO RD
COLUMBIA, SC 29203
(401) 585-7622
1497150262 RUTH-NARUMI AMADOR MA
Individual
Counselor4605 MONTICELLO RD BLDG B, STE.1
COLUMBIA, SC 29203
(803) 714-0266
1558992701 MILISSA PAULING DAVIS APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)4605 MONTICELLO RD
COLUMBIA, SC 29203
(803) 252-3770
1629045505MR. ANTHONY BERTRAM ELKINS MD
Individual
Internal Medicine4605 MONTICELLO RD BLDG A, STE.3
COLUMBIA, SC 29203
(803) 754-0151
1265745202EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))4605 MONTICELLO RD BLDG A, STE.1
COLUMBIA, SC 29203
(803) 252-7001

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992018949, enumerated in the NPI registry as an "organization" on July 20, 2010

The provider is located at 4605 Monticello Rd Building B, Ste.1 Columbia, Sc 29203 and the phone number is (803) 714-0266

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: BlueCross BlueShield of South Carolina, First. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 20, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.