SOUTH COUNTY ARTIFICIAL LIMB CO., INC. (NPI# 1679840342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679840342 |
| Entity Type | Organization |
| Organization Name | SOUTH COUNTY ARTIFICIAL LIMB CO., INC. |
| Practice Address |
16 Lincoln Ave Pawcatuck CT 06379-1856 |
| Mailing Address |
Po Box 176 West Kingston RI 02892-0176 |
| Practice Telephone | 4017830063 |
| Practice Fax Number | 4017893190 |
| Mailing Telephone | 4017830063 |
| Mailing Fax Number | 4017893190 |
| Enumeration Date | 2011-11-25 |
| Last Update Date | 2011-11-25 |
| Authorized Official Name | LOIS A. JAMES (CORPORATE SECRETARY) |
| Authorized Official Telephone | 4017830063 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 900-9676 | 05 | |
| RI | BC/BS RI | 9676-8 | 01 |
| TX | AETNA | 0007849607 | 01 |
| RI | UNITEDHEALTHCARE | 0082-0000017 | 01 |
| CT | ANTHEM BLUE CROSS | 89M057592RI01 | 01 |
| RI | FEP BLUE CROSS | 0000009676 | 01 |
| RI | WPS TRICARE | 1598724007 | 01 |
| MA | UNICARE | 1598724007 | 01 |
| RI | BLUE CHIP OF RHODE ISLAND | 402559 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851668529 | South County Artificial Limb Co., Inc. | Prosthetic/Orthotic Supplier | 265 Mendon Rd, Woonsocket, RI 02895-2410 | 2011-11-25 |
| 1205103975 | South County Artificial Limb Co., Inc. | Prosthetic/Orthotic Supplier | 40 Railroad Ave, Plainfield, CT 06374-1217 | 2011-11-25 |
| 1598724007 | South County Artificial Limb Co., Inc. | Prosthetic/Orthotic Supplier | 162 Main St, Wakefield, RI 02879-3568 | 2006-03-22 |
| Street Address |
16 LINCOLN AVE |
| City | PAWCATUCK |
| State | CT |
| Zip Code | 06379-1856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245250893 | John Michael Flaherty | Chiropractor | 16 Lincoln Ave, Pawcatuck, CT 06379-1856 | 2006-07-19 |
| 1023291804 | Advanced Chiropractic Wellness Center, LLC | Chiropractor | 16 Lincoln Ave, Pawcatuck, CT 06379-1856 | 2007-12-14 |
| 1215019435 | Sean Andrew Colsen | Podiatrist | 16 Lincoln Ave, Pawcatuck, CT 06379-1856 | 2006-10-19 |
| 1205916681 | Steven Roger Colsen | Podiatrist | 16 Lincoln Ave, Pawcatuck, CT 06374-1856 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366957565 | Stacy Jean Wheland | Behavioral Analyst | 2 Hickory Ln, Pawcatuck, CT 06379 | 2017-12-11 |
| 1255882379 | Jacqueline M. Nichols-holden | Massage Therapist | 10 Croft Ct, Pawcatuck, CT 06379 | 2016-10-24 |
| 1972635027 | Roy C Gumpel | Internal Medicine | 86 Palmer Neck Rd, Pawcatuck, CT 06379 | 2007-03-12 |
| 1811062904 | Gene S Renz | Dentist | 101 West Broad Street, Pawcatuck, CT 06379 | 2006-11-22 |
| 1790746295 | Mary Sue Agostini | Physical Therapist | 158 South Broad Street, Dynamic Physical Therapy LLC, Pawcatuck, CT 06379 | 2006-04-01 |
| 1558907154 | Holden Hands Massage, LLC | Massage Therapist | 10 Croft Ct, Pawcatuck, CT 06379-1233 | 2019-11-19 |
| 1386178093 | Janine Brooks | Nurse Practitioner | 47 Elmridge Rd, Pawcatuck, CT 06379-1234 | 2017-04-19 |
| 1093369852 | Ryan David Lee | Specialist/Technologist | 1 Fairway Ct, Pawcatuck, CT 06379-1240 | 2019-07-30 |
| 1891094116 | Susan Alfiero-bavasso | Speech-Language Pathologist | 2 Fairway Ct, Pawcatuck, CT 06379-1240 | 2011-03-25 |
| 1164935250 | Katharine Headley | Student in an Organized Health Care Education/Training Program | 61 Timber Ridge Rd, Pawcatuck, CT 06379-1241 | 2017-11-10 |
| Find all providers in zip 06379 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487214326 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 100 Water St Ste A, Norwalk, CT 06854-3067 | 2019-06-13 |
| 1679043525 | Adaptive Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 100 Retreat Ave Ste 302, Hartford, CT 06106-2528 | 2018-12-04 |
| 1396231189 | Prosthetic & Orthotic Solutions, LLC. | Prosthetic/Orthotic Supplier | 45 Wintonbury Ave Ste 311, Bloomfield, CT 06002-2470 | 2018-07-05 |
| 1437662624 | Adaptive Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 567 Vauxhall Street Ext Ste 109, Waterford, CT 06385-4331 | 2017-11-09 |
| 1972027043 | Macy Op | Prosthetic/Orthotic Supplier | 305 Flanders Rd Unit 2, East Lyme, CT 06333-1743 | 2017-08-01 |
| 1467994731 | Adaptive Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 113 Salem Tpke Ste 6, Norwich, CT 06360-6484 | 2016-11-17 |
| 1225580087 | Lavant Garde Hair | Prosthetic/Orthotic Supplier | 580 Newfield Ave, Bridgeport, CT 06607-1718 | 2016-10-27 |
| 1891187399 | Associated Medical Inc | Prosthetic/Orthotic Supplier | 85 Retreat Ave Ste 1, Cancer Center Boutique Hartford Hospital, Hartford, CT 06106-2555 | 2015-02-20 |
| 1063828747 | Gregory Carford | Prosthetic/Orthotic Supplier | 37 Hunt St, Norwalk, CT 06853-1045 | 2014-07-02 |
| 1306267034 | Live Every Day | Prosthetic/Orthotic Supplier | 138 Hopmeadow St, Weatogue, CT 06089-9793 | 2013-12-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.