Provider Demographics
NPI:1235398041
Name:SURGI-CARE INC
Entity Type:Organization
Organization Name:SURGI-CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DARCY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DILIDDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-290-1807
Mailing Address - Street 1:300 CENTERVILLE RD
Mailing Address - Street 2:SUITE 102S SUMMIT SOUTH
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-0200
Mailing Address - Country:US
Mailing Address - Phone:401-732-3224
Mailing Address - Fax:401-732-5142
Practice Address - Street 1:300 CENTERVILLE RD
Practice Address - Street 2:SUITE 102S SUMMIT SOUTH
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-0200
Practice Address - Country:US
Practice Address - Phone:401-732-3224
Practice Address - Fax:401-732-5142
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SURGI-CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-06
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
RISC70174Medicaid
RI1235398041OtherBCBS OF RI
RI2546900Medicaid
RI1235398041OtherBCBS OF RI
RI2546900Medicaid
MA0254690001Medicare NSC