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Organization
SOUTH COUNTY ARTIFICIAL LIMB CO., INC.
Active
Organization
SOUTH COUNTY ARTIFICIAL LIMB CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOIS A. JAMES (CORPORATE SECRETARY)
(401) 783-0063
Entity
Organization
Contact information
Practice address
162 MAIN ST, WAKEFIELD, RI 02879-3568
(401) 783-0063
(401) 789-3190
Mailing address
PO BOX 176, WEST KINGSTON, RI 02892-0176
(401) 783-0063
(401) 789-3190
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP00001
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402559
BLUE CHIP OF RI
RI
05
—
900-9676
—
RI
01
—
9676-8
BC/BS OF RI
RI
Enumeration date
03/22/2006
Last updated
05/22/2020
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