Organization
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
Active
Organization
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
Active
Other names
Silver Springs Healthcare Management
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FRANCIS FOGERTY JR. (ADMINISTRATIVE DIRECTOR, FINANCE)
(401) 788-1978
Entity
Organization
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 782-8035
Mailing address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 788-3929
(401) 788-3939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
363L00000X
Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24098
BCBS
RI
05
—
SC34029
—
RI
Enumeration date
04/24/2008
Last updated
08/13/2026
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