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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