Organization Active NPI

Eau Claire Medical Supply

  • Nursing Care Agency
  • Columbia, SC
National Provider Identifier
1265582449
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
040010861 Issued in SC
Legal business name
EAU CLAIRE MEDICAL SUPPLY
Practice address
4100 North Main St
Suite #100
Columbia, SC 29203-5800
Phone
(803) 735-9849
Fax
(803) 735-1710
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael L. Finklin, CPHT
Title
Owner
Phone
(803) 735-9849

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 040010861 SC Primary
Durable Medical Equipment & Medical Supplies 332B00000X 040010861 SC

Addresses

Primary practice location

4100 North Main St
Suite #100
Columbia, SC 29203-5800

Mailing address

4100 North Main St
Suite #100
Columbia, SC 29203-5800
Phone (803) 735-9849

Other identifiers 1

IdentifierTypeStateIssuer
DME092MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1265582449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 NORTH MAIN ST",
            "address_2": "SUITE #100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035800",
            "telephone_number": "803-735-9849",
            "fax_number": "803-735-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 NORTH MAIN ST",
            "address_2": "SUITE #100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035800",
            "telephone_number": "803-735-9849",
            "fax_number": "803-735-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAU CLAIRE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "FINKLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-735-9849",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPHT"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "SC",
            "license": "040010861",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "SC",
            "license": "040010861",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME092",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.