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Wampanoag Medical Clinic and Treatment Center

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Company Details

Name: Wampanoag Medical Clinic and Treatment Center
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 09 Apr 1976 (49 years ago)
Date of Dissolution: 09 Nov 2010 (15 years ago)
Date of Status Change: 09 Nov 2010 (15 years ago)
Identification Number: 000015695
ZIP code: 02914
County: Providence County
Purpose: HEALTH CARE SERVICES
Principal Address: Google Maps Logo 1970 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914, USA

Agent

Name Role Address
JUANITO ABANILLA, MD Agent 1970 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914, USA

PRESIDENT

Name Role Address
JUANITO ABANILLA MD PRESIDENT 1970 PAWTUCKET AVENUE EAST PROVIDENCE, RI 02914 USA

National Provider Identifier

NPI Number:
1720011018

Authorized Person:

Name:
DR. JUANITO A ABANILLA
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4014386621

Filings

Number Name File Date
201072583600 Registered Office Not Maintained 2010-11-29
201071988370 Revocation Certificate For Failure to File the Annual Report for the Year 2010-11-09
201064706000 Registered Office Not Maintained 2010-06-28
201063040970 Revocation Notice For Failure to File An Annual Report 2010-06-16
200943269830 Annual Report 2009-02-26

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Date of last update: 17 May 2025

Sources: Rhode Island Department of State