Ed's probably right but I seem to remember seeing something like this on a small motel switch to block LD and prefix's to only local calls.(been a long time)
They were also used with older Executone systems. Most of the ones I've seen were installed in Social Security offices, so it may have been something the contract holder liked to use.
I was with Executone from 80 - 88 and think I only used them for making a diode matrix with 1A2 bridged ringing. I didn't work too much with their nurse call stuff though. But being that it is a telephone block, I wonder if your SS offices might have had 1A2 systems?