South County Artificial Limb Co., Inc.
Organization Active NPI Prosthetic/Orthotic Supplier · Pawcatuck, CT
NPI 1679840342 · NPPES record last updated Nov 25, 2011
Key facts
- NPI
- 1679840342
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- SOUTH COUNTY ARTIFICIAL LIMB CO., INC.
- Practice address
- 16 Lincoln Ave
Pawcatuck, CT 06379-1856 - Phone
- (401) 783-0063
- Fax
- (401) 789-3190
- NPI assigned
- Nov 25, 2011
- Organization subpart
- No
Authorized official
- Name
- Lois A. James
- Title
- Corporate Secretary
- Phone
- (401) 783-0063
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
16 Lincoln Ave
Pawcatuck, CT 06379-1856
Mailing address
PO Box 176
West Kingston, RI 02892-0176
Phone (401) 783-0063
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89M057592RI01 | Other | CT | ANTHEM BLUE CROSS |
| 900-9676 | Medicaid | RI | |
| 0007849607 | Other | TX | AETNA |
| 9676-8 | Other | RI | BC/BS RI |
| 1598724007 | Other | RI | WPS TRICARE |
| 1598724007 | Other | MA | UNICARE |
| 0000009676 | Other | RI | FEP BLUE CROSS |
| 0082-0000017 | Other | RI | UNITEDHEALTHCARE |
| 402559 | Other | RI | BLUE CHIP OF RHODE ISLAND |
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All providers in Pawcatuck, CT · Prosthetic/Orthotic Supplier in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.