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EAU CLAIRE MEDICAL SUPPLY NPI 1265582449


NPI Information

NPI: 1265582449
Provider Name: EAU CLAIRE MEDICAL SUPPLY
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
4100 NORTH MAIN ST
SUITE #100
COLUMBIA, SC
ZIP 29203
Phone: (803) 735-9849
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EAU CLAIRE MEDICAL SUPPLY is a nursing care in Columbia, SC. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. EAU CLAIRE MEDICAL SUPPLY NPI is 1265582449. The provider is registered as an organization entity type.

The provider's business location address is:

4100 NORTH MAIN ST
SUITE #100
COLUMBIA, SC
ZIP 29203-800
Phone: (803) 735-9849
Fax: (803) 735-1710

The provider's authorized official is Michael L. Finklin .
The authorized official title is Owner and has the following contact phone number (803) 735-9849.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 7/30/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies040010861SOUTH CAROLINANo
2251J00000XNursing Care040010861SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERSOUTH CAROLINABLUE CROSS BLUE SHIELD
20636550001MEDICARE NSCSOUTH CAROLINA
3DME092MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.