South County Artificial Limb Co., Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SOUTH COUNTY ARTIFICIAL LIMB CO., INC.

Practice address

265 Mendon Rd
Woonsocket, RI 02895-2410

Phone

(401) 769-1314

Fax

(401) 789-3190

NPI assigned

Nov 25, 2011

Organization subpart

No

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

Authorized official

Name

Lois A. James

Title

Corporate Secretary

Phone

(401) 783-0063

Specialties & licenses 1

Addresses

Other identifiers 9

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
  • Wakefield, RI
  • NPI 1598724007

  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
  • Wakefield, RI
  • NPI 1598724007
  NPD tax ID

Locations

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

{
    "created_epoch": "1322179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772236800000",
    "number": "1851668529",
    "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": "265 MENDON RD",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028952410",
            "telephone_number": "401-769-1314",
            "fax_number": "401-789-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY ARTIFICIAL LIMB CO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-25",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "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"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "RI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "1598724007",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD FEDERAL EMPLOYEE PROGRAM",
            "identifier": "0000009676",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900-9676",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007849607",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "0082-0000017",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS TRICARE",
            "identifier": "1598724007",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP OF RHODE ISLAND",
            "identifier": "402559",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF RHODE ISLAND",
            "identifier": "9676-8",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "89M057592RI01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherie Soderbom, RD
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• Sophoeun S Sopheap
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• Crystal Lise Souza, FNP-C
• Phyllis Souza, RN
• Susan Margaret Souza, LCSW
• Pamela Ann Sowa, RN

• Prosthetic/Orthotic Supplier in Woonsocket, RI
• Providers in Woonsocket, 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 Feb 28, 2026; 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.