Organization
SOUTH COUNTY HOSPITAL DBA SILVER SPRINGS HEALTHCARE MANAGEMENT
Active
Other names
Silver Springs Healthcare Management
Organization subpart
No
Provider details
NPI number
Authorized official
TOM BREEN (CFO)
(401) 782-8035
Entity
Organization
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 782-8035
Mailing address
91 STILES RD, SALEM, NH 03079-2846
(603) 890-4420
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
04/24/2008
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