Organization
FOOT CENTRAL USA
Active
Other names
Footsmart Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JEANINE C VIGEANT (OWNER)
(401) 521-1700
Entity
Organization
Contact information
Practice address
1 RICHMOND SQ STE 147N, PROVIDENCE, RI 02906-5136
(401) 521-1700
Mailing address
1 RICHMOND SQ STE 147N, PROVIDENCE, RI 02906-5136
(401) 521-1700
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227076
BCBS OF RI
RI
01
—
412012
BLUE CHIP
RI
01
—
ZDY747
BCBS OF MASS
MA
Enumeration date
07/21/2006
Last updated
08/22/2020
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