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  5. MEDICAL ASSOCIATES OF RHODE ISLAND, INC.

MEDICAL ASSOCIATES OF RHODE ISLAND, INC.

Company Details

Name: MEDICAL ASSOCIATES OF RHODE ISLAND, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 01 Jul 1969 (56 years ago)
Identification Number: 000009340
ZIP code: 02809
County: Bristol County
Principal Address: 1180 HOPE STREET, BRISTOL, RI, 02809, USA
Purpose: GROUP MEDICAL PRACTICE
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)
Fictitious names: Bristol County Medical Center (trading name, 2015-03-03 - )
Historical names: MEDICAL ASSOCIATES OF BRISTOL COUNTY, INC.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1174525166 2005-08-10 2022-07-21 1180 HOPE ST, BRISTOL, RI, 028091126, US 1180 HOPE ST, BRISTOL, RI, 028091126, US

Contacts
Phone +1 401-253-8900
Fax 4012533131

Authorized person
Name PAMELA A. HARROP
Role PRESIDENT
Phone 4012538900

Taxonomy
Taxonomy Code 2085R0202X - Diagnostic Radiology Physician
State RI
Is Primary Yes

Other Provider Identifiers
Issuer B/C
Number 101-6
State RI
Issuer BCHIP
Number 101-6
State RI
Issuer NEIGHBORHOOD HEALRH CARE
Number 4072
State RI
Issuer UNITED HEALTH CARE
Number 1600201
State RI
Issuer TUFTS HEALTH PLAN
Number 625025
State RI
Issuer MEDICAID
Number MA01678
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICAL ASSOCIATES OF RHODE ISLAND, INC. THRIFT 401(K) PLAN AND TRUST 2017 050340866 2018-07-26 MEDICAL ASSOCIATES OF RHODE ISLAND, INC. 120
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 4012538900
Plan sponsor’s address 1180 HOPE STREET, BRISTOL, RI, 02809

Signature of
Role Plan administrator
Date 2018-07-25
Name of individual signing RICHARD REUTER
Valid signature Filed with authorized/valid electronic signature
MEDICAL ASSOCIATES OF RHODE ISLAND, INC. THRIFT 401(K) PLAN AND TRUST 2016 050340866 2017-07-25 MEDICAL ASSOCIATES OF RHODE ISLAND, INC. 106
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 4012538900
Plan sponsor’s address 1180 HOPE STREET, BRISTOL, RI, 02809

Signature of
Role Plan administrator
Date 2017-07-24
Name of individual signing RICHARD REUTER
Valid signature Filed with authorized/valid electronic signature
MEDICAL ASSOCIATES OF RHODE ISLAND, INC. THRIFT 401(K) PLAN AND TRUST 2015 050340866 2016-07-26 MEDICAL ASSOCIATES OF RHODE ISLAND, INC. 116
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 4012538900
Plan sponsor’s address 1180 HOPE STREET, BRISTOL, RI, 02809

Signature of
Role Plan administrator
Date 2016-07-26
Name of individual signing RICHARD REUTER
Valid signature Filed with authorized/valid electronic signature
MEDICAL ASSOCIATES OF RHODE ISLAND, INC. THRIFT 401(K) PLAN AND TRUST 2014 050340866 2015-09-29 MEDICAL ASSOCIATES OF RHODE ISLAND, INC. 112
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 4012538900
Plan sponsor’s address 1180 HOPE STREET, BRISTOL, RI, 02809

Signature of
Role Plan administrator
Date 2015-09-25
Name of individual signing RICHARD REUTER
Valid signature Filed with authorized/valid electronic signature
MEDICAL ASSOCIATES OF RHODE ISLAND, INC. THRIFT 401(K) PLAN AND TRUST 2013 050340866 2014-07-25 MEDICAL ASSOCIATES OF RHODE ISLAND, INC. 101
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 4012538900
Plan sponsor’s address 1180 HOPE STREET, BRISTOL, RI, 02809

Signature of
Role Plan administrator
Date 2014-07-25
Name of individual signing RICHARD REUTER
Valid signature Filed with authorized/valid electronic signature
MEDICAL ASSOCIATES OF RHODE ISLAND, INC. THRIFT 401(K) PLAN AND TRUST 2012 050340866 2013-09-27 MEDICAL ASSOCIATES OF RHODE ISLAND, INC. 96
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 4012538900
Plan sponsor’s address 1180 HOPE STREET, BRISTOL, RI, 02809

Signature of
Role Plan administrator
Date 2013-09-23
Name of individual signing RICHARD REUTER
Valid signature Filed with authorized/valid electronic signature
MEDICAL ASSOCIATES OF RHODE ISLAND, INC. THRIFT 401(K) PLAN AND TRUST 2011 050340866 2012-07-16 MEDICAL ASSOCIATES OF RHODE ISLAND, INC. 99
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 4012538900
Plan sponsor’s address 1180 HOPE STREET, BRISTOL, RI, 02809

Plan administrator’s name and address
Administrator’s EIN 050340866
Plan administrator’s name MEDICAL ASSOCIATES OF RHODE ISLAND, INC.
Plan administrator’s address 1180 HOPE STREET, BRISTOL, RI, 02809
Administrator’s telephone number 4012538900

Signature of
Role Plan administrator
Date 2012-07-16
Name of individual signing RICHARD REUTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-07-16
Name of individual signing PATRICIA CHACE
Valid signature Filed with authorized/valid electronic signature
MEDICAL ASSOCIATES OF RHODE ISLAND, INC. THRIFT 401(K) PLAN AND TRUST 2010 050340866 2011-07-19 MEDICAL ASSOCIATES OF RHODE ISLAND, INC. 101
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 4012538900
Plan sponsor’s address 1180 HOPE STREET, BRISTOL, RI, 02809

Plan administrator’s name and address
Administrator’s EIN 050340866
Plan administrator’s name MEDICAL ASSOCIATES OF RHODE ISLAND, INC.
Plan administrator’s address 1180 HOPE STREET, BRISTOL, RI, 02809
Administrator’s telephone number 4012538900

Signature of
Role Plan administrator
Date 2011-07-19
Name of individual signing RICHARD REUTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-19
Name of individual signing PATRICIA CHACE
Valid signature Filed with incorrect/unrecognized electronic signature
MEDICAL ASSOCIATES OF RHODE ISLAND, INC. THRIFT 401(K) PLAN AND TRUST 2009 050340866 2010-07-14 MEDICAL ASSOCIATES OF RHODE ISLAND, INC. 100
File View Page
Three-digit plan number (PN) 004
Effective date of plan 1987-01-01
Business code 621111
Sponsor’s telephone number 4012538900
Plan sponsor’s address 1180 HOPE STREET, BRISTOL, RI, 02809

Plan administrator’s name and address
Administrator’s EIN 050340866
Plan administrator’s name MEDICAL ASSOCIATES OF RHODE ISLAND, INC.
Plan administrator’s address 1180 HOPE STREET, BRISTOL, RI, 02809
Administrator’s telephone number 4012538900

Signature of
Role Plan administrator
Date 2010-07-14
Name of individual signing RICHARD REUTER
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-14
Name of individual signing PATRICIA CHACE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
PAMALA HARROP, MD Agent 1180 HOPE STREET, BRISTOL, RI, 02809, USA

TREASURER

Name Role Address
LESLIE C MOHLMAN MD TREASURER 10 WEDGEWOOD LN BARRINGTON, RI 02806 USA

SECRETARY

Name Role Address
KATHRYN K BANNER MD SECRETARY 59 WINNISIMET DRIVE TIVERTON, RI 02878 USA

PRESIDENT

Name Role Address
PAMELA A HARROP MD PRESIDENT 11 BEAUMONT ROAD RUMFORD, RI 02916 USA

DIRECTOR

Name Role Address
JORDAN DEHAVEN MD DIRECTOR 47 DANIELLE DRIVE WOONSOCKET, RI 02895 USA
SARAH RIEDO MD DIRECTOR 88 SUMMIT ROAD PORTSMOUTH, RI 02871 USA

VICE PRESIDENT

Name Role Address
GEOFFREY HAMILTON MD VICE PRESIDENT 18 HAMPDEN STREET BARRINGTON, RI 02806 USA

OTHER OFFICER

Name Role
ELENA WILLIAMS OTHER OFFICER

Events

Type Date Old Value New Value
Name Change 1986-06-13 MEDICAL ASSOCIATES OF BRISTOL COUNTY, INC. MEDICAL ASSOCIATES OF RHODE ISLAND, INC.

Filings

Number Name File Date
202453779560 Annual Report 2024-05-02
202330222840 Annual Report 2023-03-08
202208657310 Annual Report 2022-01-26
202187977470 Annual Report 2021-01-27
202033942720 Annual Report 2020-02-07
201930350720 Miscellaneous Filing (No Fee) 2019-12-18
201984607230 Annual Report 2019-01-17
201984359760 Miscellaneous Filing (No Fee) 2018-12-14
201869663210 Order Appointing Temporary Receiver 2018-05-29
201755101990 Annual Report 2017-12-15

Related by officers

LESLIE C MOHLMAN MD

BRISTOL COUNTY MEDICAL ASSOCIATES, INC.

GEOFFREY HAMILTON MD

BRISTOL COUNTY MEDICAL ASSOCIATES, INC.

ELENA WILLIAMS

HHW, Incorporated

Related by address

1180 HOPE STREET, BRISTOL, RI, 02809, USA

BRISTOL COUNTY MEDICAL ASSOCIATES, INC. MARILABS, INC. LEPRE PHYSICAL THERAPY OF BRISTOL, LLC EAST BAY CT, LLC MARI Provider Services, LLC Bristol County Eye Care, LLC

Date of last update: 05 Oct 2024

Sources: Rhode Island Department of State

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