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
- 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.
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 |
---|---|---|---|
CBP018 | MEDICAID (05) | SC | |
FQC187 | MEDICAID (05) | SC | |
FQC031 | MEDICAID (05) | SC |
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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. | |||||||||
1 | 9 | 9 | 2 | 0 | 1 | 8 | 9 | 4 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 18 | 2 | 0 | 1 | 16 | 9 | 8 | |
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 = 9 | 9 |
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 |
---|---|---|---|
1215937784 | DR. STUART ARNIM HAMILTON MD Individual | Pediatrics | 4605 MONTICELLO RD EAU CLAIRE COOPERATIVE HEALTH CENTER COLUMBIA, SC 29203 (803) 252-5432 |
1215937610 | DAN ROBERT BODISON JR. MD Individual | Pediatrics | 4605 MONTICELLO RD EAU CLAIRE COOPERATIVE HEALTH CENTER COLUMBIA, SC 29203 (803) 252-7001 |
1144220559 | DR. KIMBERLY HIGHTOWER M.D. Individual | Pediatrics | 4605 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 | Pharmacist | 4605 MONTICELLO RD COLUMBIA, SC 29203 (803) 252-3770 |
1295721009 | MRS. RUBY M ALBERT MD Individual | Pediatrics | 4605 MONTICELLO RD COLUMBIA, SC 29203 (803) 252-7001 |
1740264290 | DR. LYNN L. WILSON MD Individual | Pediatrics | 4605 MONTICELLO RD COLUMBIA, SC 29203 (803) 252-7001 |
1609835602 | DR. WILLIAM BRYAN NORRIS PHARM.D. Individual | Pharmacist | 4605 MONTICELLO RD COLUMBIA, SC 29203 (803) 252-3770 |
1740201417 | MRS. 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 Medicine | 4605 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 Practitioner | 4605 MONTICELLO RD COLUMBIA, SC 29203 (803) 754-0151 |
1265641419 | SARAH M THOMPSON MD Individual | Pediatrics | 4605 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 | Pharmacist | 4605 MONTICELLO RD COLUMBIA, SC 29203 (401) 585-7622 |
1497150262 | RUTH-NARUMI AMADOR MA Individual | Counselor | 4605 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 |
1629045505 | MR. ANTHONY BERTRAM ELKINS MD Individual | Internal Medicine | 4605 MONTICELLO RD BLDG A, STE.3 COLUMBIA, SC 29203 (803) 754-0151 |
1265745202 | EAU 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].
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