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PAWTUXET VALLEY MEDICAL, INC.

Company Details

Name: PAWTUXET VALLEY MEDICAL, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 07 Apr 1976 (49 years ago)
Date of Dissolution: 29 Mar 2017 (8 years ago)
Date of Status Change: 29 Mar 2017 (8 years ago)
Identification Number: 000015949
ZIP code: 02816
County: Kent County
Purpose: MEDICAL PRACTICES
Fictitious names: Pawtuxet Valley Urgent Care (trading name, 2003-10-28 - )
pawtuxet valley medical and surgical services (trading name, 1983-05-23 - )
Historical names: Pawtuxet Valley Medical and Surgical Services of Rhode Island,Inc.
Principal Address: Google Maps Logo 982 TIOGUE AVENUE, COVENTRY, RI, 02816, USA

Industry & Business Activity

NAICS

62 Health Care and Social Assistance

The Sector as a Whole Learn more at the U.S. Census Bureau

Agent

Name Role Address
EVERETT PETRONIO, JR. ESQ. Agent 931 JEFFERSON BOULEVARD SUITE 2004, WARWICK, RI, 02886, USA

PRESIDENT

Name Role Address
DANIEL F COLLINS MD PRESIDENT 982 TIOGUE AVENUE COVENTRY, RI 02816 USA

National Provider Identifier

NPI Number:
1043431018

Authorized Person:

Name:
DANIEL F. COLLINS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
4018218513

Form 5500 Series

Employer Identification Number (EIN):
050370168
Plan Year:
2015
Number Of Participants:
38
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
34
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
33
Sponsors Telephone Number:

Events

Type Date Old Value New Value
Name Change 1991-11-25 Pawtuxet Valley Medical and Surgical Services of Rhode Island,Inc. PAWTUXET VALLEY MEDICAL, INC.

Filings

Number Name File Date
201739118710 Articles of Dissolution 2017-03-29
201730145210 Annual Report 2017-01-16
201692364540 Annual Report 2016-02-12
201555986030 Annual Report 2015-02-28
201436344070 Annual Report 2014-02-27

Date of last update: 17 May 2025

Sources: Rhode Island Department of State