Organization
SOUTH COUNTY ARTIFICIAL LIMB CO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOIS A. JAMES (CORPORATE SECRETARY)
(401) 783-0063
Entity
Organization
Contact information
Practice address
16 LINCOLN AVE, PAWCATUCK, CT 06379-1856
(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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000009676
FEP BLUE CROSS
RI
01
—
0007849607
AETNA
TX
01
—
0082-0000017
UNITEDHEALTHCARE
RI
01
—
1598724007
UNICARE
MA
01
—
1598724007
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
Enumeration date
11/25/2011
Last updated
11/25/2011
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