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CH04327D EAU CLAIRE COOPERATIVE HEALTH CENTER (Active)
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Main Details
Name
EAU CLAIRE COOPERATIVE HEALTH CENTER
Subdivision Name
BROOKLAND-CAYCE MEDICAL PRACTICE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001508
340B ID
CH04327D
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
1115 State St
Cayce, SC 29033-4342
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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NEW SITE 04/01/2004, 7/1/05 - REMOVED MEDICAID #
04/22/2011
April 2025
April 2025
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