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SOUTH COUNTY RADIATION THERAPY LLC NPI 1841270303


NPI Information

NPI: 1841270303
Provider Name: SOUTH COUNTY RADIATION THERAPY, LLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
142 KENYON AVE
WAKEFIELD, RI
ZIP 02879
Phone: (401) 284-0850
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SOUTH COUNTY RADIATION THERAPY, LLC is a radiation oncology radiology in Wakefield, RI. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. SOUTH COUNTY RADIATION THERAPY, LLC NPI is 1841270303. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

142 KENYON AVE
WAKEFIELD, RI
ZIP 02879-216
Phone: (401) 284-0850
Fax: (401) 284-0860

The provider's authorized official is Kim Commins .
The authorized official title is Ceo and has the following contact phone number (239) 931-7275.

The enumeration date for this NPI number is 1/20/2006 and was last updated on 7/12/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19004398MEDICAIDRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.