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CH043270 EAU CLAIRE COOPERATIVE HEALTH CENTER, INC. (Active)
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Main Details
Name
EAU CLAIRE COOPERATIVE HEALTH CENTER, INC.
Subdivision Name
EAU CLAIRE COOPERATIVE HEALTH CENTER ADMINISTRATIVE OFFICES
Type
HRSA-Funded Health Center
Site ID
BPS-H80-039956
340B ID
CH043270
Grant Number
H80CS00730
Additional Details
Current Program Status
Active
Registration Date
4/1/2002
Participating Start Date
4/1/2002
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
221 Dawson Road
COLUMBIA, SC 29223
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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2/6/14 DURING RECERT, PLEASE CLARIFY WHICH H80 APPROVED SITE THIS REPRESENTS!;8/26/10 ADDED NPI#; REPLACES CH04327B - WILL BE USED AS BILL/SHIP TO FOR SATELLI, 7/1/05 - REMOVED MEDICAID #
02/06/2014
8/26/10 ADDED NPI#; REPLACES CH04327B - WILL BE USED AS BILL/SHIP TO FOR SATELLI, 7/1/05 - REMOVED MEDICAID #
08/26/2010
April 2025
April 2025
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