# SOUTH COUNTY ARTIFICIAL LIMB CO., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205103975
- **Authorized official:** LOIS A. JAMES (CORPORATE SECRETARY)
- **Authorized official phone:** (401) 783-0063

## Contact information

- **Practice address:** 40 RAILROAD AVE, PLAINFIELD, CT 06374-1217
- **Practice address phone:** (401) 783-0063
- **Practice address fax:** (401) 789-3190
- **Mailing address:** PO BOX 176, WEST KINGSTON, RI 02892-0176
- **Mailing address phone:** (401) 783-0063
- **Mailing address fax:** (401) 789-3190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 11/25/2011
- **Last updated:** 11/25/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000009676 | FEP BLUE CROSS | — |
| 01 | — | 0007849607 | AETNA | — |
| 01 | — | 0082-0000017 | UNITEDHEALTHCARE | RI |
| 01 | — | 1598724007 | UNICARE | MA |
| 01 | — | 1598742007 | WPS TRICARE | RI |
| 01 | — | 402559 | BLUE CHIP OF RHODE ISLAND | RI |
| 01 | — | 89M057592RI01 | ANTHEM BLUE CROSS | CT |
| 05 | — | 900-9676 | — | RI |
| 01 | — | 9676-8 | BC/BS RI | RI |