| Name: | MIRIAM IPA, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Merged Into An Entity Of Record |
| Date of Organization in Rhode Island: | 10 Mar 1987 (38 years ago) |
| Date of Dissolution: | 09 Apr 2013 (12 years ago) |
| Date of Status Change: | 09 Apr 2013 (12 years ago) |
| Identification Number: | 000004253 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 164 SUMMIT STREET, PROVIDENCE, RI, 02906, USA |
| Purpose: | A MEMBERSHIP ORGANIZATION WHICH ARRANGES FOR THE DELIVERY OF HEALTH CARE SERVICES. |
| Name | Role | Address |
|---|---|---|
| STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| ROBERT BAHR MD | PRESIDENT | 150 EAST MANNING STREET PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| JEAN SMITH MD | DIRECTOR | 909 NORTH MAIN STREET PROVIDENCE, RI 02904 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Merged | 2013-04-09 | MIRIAM IPA, INC. | LIFESPAN PHYSICIANS IPA, INC. on |
| Number | Name | File Date |
|---|---|---|
| 201292847740 | Annual Report - Amended | 2012-05-17 |
| 201292676980 | Annual Report | 2012-05-10 |
| 201180333050 | Annual Report | 2011-06-21 |
| 201177887270 | Annual Report | 2011-04-07 |
| 201175979760 | Revocation Notice For Failure to File An Annual Report | 2011-03-03 |
| 201058797700 | Annual Report | 2010-02-22 |
| 201058797250 | Reinstatement | 2010-02-22 |
| 201057886180 | Revocation Certificate For Failure to File the Annual Report for the Year | 2010-02-04 |
| 200953348000 | Revocation Notice For Failure to File An Annual Report | 2009-10-27 |
| 200812058200 | Annual Report | 2008-06-18 |
Date of last update: 05 Oct 2024
Sources: Rhode Island Department of State
