Organization
SOUTH COUNTY HOSPITAL HEALTHCARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE DESMARAIS RN (VP QUALITY & REGULATORY COMPLIANCE)
(401) 788-1370
Entity
Organization
Contact information
Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 728-8000
Mailing address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 728-8000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HOS00114
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000008
BLUE CROSS OF RI
RI
01
—
1928
NEIGHBORHOOD HEALTH PLAN
RI
05
—
4100008
—
RI
01
—
50-00111
UNITED HEALTH CARE
—
01
—
H00107
RI BLUE CHIP
RI
05
—
OP00008
—
RI
Enumeration date
04/19/2006
Last updated
12/03/2007
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