South County Artificial Limb Co., Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

CP00001 Issued in RI

Legal business name

SOUTH COUNTY ARTIFICIAL LIMB CO., INC.

Practice address

162 Main St
Wakefield, RI 02879-3568

Phone

(401) 783-0063

Fax

(401) 789-3190

NPI assigned

Mar 22, 2006

Last updated

May 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Lois A. James

Title

Corporate Secretary

Phone

(401) 783-0063

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• South County Artificial Limb Co., Inc.

  • Prosthetic/Orthotic Supplier
  • Woonsocket, RI
  • NPI 1851668529

  4880713569

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

South County Artificial Limb Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South County Artificial Limb Co., Inc.

  • Prosthetic/Orthotic Supplier
  • Woonsocket, RI
  • NPI 1851668529
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1598724007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 176",
            "city": "WEST KINGSTON",
            "state": "RI",
            "postal_code": "028920176",
            "telephone_number": "401-783-0063",
            "fax_number": "401-789-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MAIN ST",
            "city": "WAKEFIELD",
            "state": "RI",
            "postal_code": "028793568",
            "telephone_number": "401-783-0063",
            "fax_number": "401-789-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY ARTIFICIAL LIMB CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CORPORATE SECRETARY",
        "authorized_official_telephone_number": "401-783-0063",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "RI",
            "license": "CP00001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF RI",
            "identifier": "402559",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900-9676",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF RI",
            "identifier": "9676-8",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Anne Soares, MS, LICSW
• Karen Ann Soderberg-Gomez, RNP
• Soul Tending Psychotherapy, LLC
• Sound Asleep Anesthesia, LLC
• South County Anesthesia Associates, LLC
• South County Behavioral Medicine Inc
• South County Community Action
• South County Health
• South County Hospital Healthcare System (Silver Springs Healthcare Management)
• South County Hospital Healthcare System

• Prosthetic/Orthotic Supplier in Wakefield, RI
• Providers in Wakefield, RI by specialty
• Prosthetic/Orthotic Supplier in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.