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CH04327K EAU CLAIRE COOPERATIVE HEALTH CENTER (Active)
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Main Details
Name
EAU CLAIRE COOPERATIVE HEALTH CENTER
Subdivision Name
FIVE POINTS PEDIATRICS
Type
HRSA-Funded Health Center
Site ID
BPS-H80-002994
340B ID
CH04327K
Grant Number
H80CS00730
Additional Details
Current Program Status
Active
Registration Date
4/1/2004
Participating Start Date
4/1/2004
Participating Approval Date
7/1/2005
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC
GLORIA WARNER, INTERIM PRESIDENT AND CEO
(803) 733-5969
Primary Contact
Eau Claire Cooperative Health Center, Inc
GRETCHEN BECKHAM, DIRECTOR OF PHARMACY
(803) 603-5737
Addresses
Street Address
1228 Harden St
SUITE B
Columbia, SC 29204-1800
Billing Address
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
PO BOX 3788
COLUMBIA, SC 29230
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/10/2008- UPDATED NAME AND ADD. (WAS WOMEN'S HEALTH CENTER, 1333 TAYLOR STREET, SUITES 4C-4DNEW SITE, ZIP-29201) 04/01/2004, 7/1/05 - REMOVED MEDICAID #
03/10/2008
April 2025
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