| Name: | NORTH PROVIDENCE MEDICAL SERVICES, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 08 Jan 1975 (50 years ago) |
| Date of Dissolution: | 13 Mar 2020 (5 years ago) |
| Date of Status Change: | 13 Mar 2020 (5 years ago) |
| Identification Number: | 000017382 |
| ZIP code: | 02919 |
| County: | Providence County |
| Principal Address: | 1524 ATWOOD AVENUE SUITE 122, JOHNSTON, RI, 02919, USA |
| Purpose: | URGENT CARE |
| Fictitious names: |
North Providence Emergency Services (trading name, 2008-05-23 - ) North Providence Emergency Medical Services (trading name, 2008-05-23 - ) |
| Historical names: |
NORTH PROVIDENCE EMERGENCY MEDICAL SERVICES, INC. |
NAICS
621498 All Other Outpatient Care CentersThis U.S. industry comprises establishments with medical staff primarily engaged in providing general or specialized outpatient care (except family planning centers, outpatient mental health and substance abuse centers, HMO medical centers, kidney dialysis centers, and freestanding ambulatory surgical and emergency centers). Centers or clinics of health practitioners with different degrees from more than one industry practicing within the same establishment (i.e., Doctor of Medicine and Doctor of Dental Medicine) are included in this industry. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992757017 | 2006-05-17 | 2008-04-07 | 1637 MINERAL SPRING AVE, SUITE 115, NORTH PROVIDENCE, RI, 029044042, US | 1637 MINERAL SPRING AVE, SUITE 115, NORTH PROVIDENCE, RI, 029044042, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 401-353-1012 |
| Fax | 4013536362 |
Authorized person
| Name | MR. STEPHEN D'AMATO |
| Role | OWNER |
| Phone | 4013531012 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | MD05562 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| License Number | MD10188 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | MD05562 |
| State | RI |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTH PROVIDENCE MEDICAL SERVICES, INC. 401(K) PLAN | 2009 | 050357576 | 2010-07-09 | NORTH PROVIDENCE MEDICAL SERVICES, INC. | 14 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 050357576 |
| Plan administrator’s name | NORTH PROVIDENCE MEDICAL SERVICES, INC. |
| Plan administrator’s address | 1631 MINERAL SPRING AVENUE, NORTH PROVIDENCE, RI, 02904 |
| Administrator’s telephone number | 4013531012 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-09 |
| Name of individual signing | STEPHEN J. D'AMATO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JOSEPH J. RODIO, SR. | Agent | RODIO & URSILLO LTD 86 WEYBOSSET STREET SUITE 400, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| ROBERT L GORDON | PRESIDENT | 58 GASPEE POINT DRIVE WARWICK, RI 02888 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1990-08-24 | NORTH PROVIDENCE EMERGENCY MEDICAL SERVICES, INC. | NORTH PROVIDENCE MEDICAL SERVICES, INC. |
| Number | Name | File Date |
|---|---|---|
| 202036327650 | Annual Report | 2020-03-13 |
| 202036327740 | Articles of Dissolution | 2020-03-13 |
| 201988520300 | Annual Report | 2019-03-11 |
| 201859439430 | Annual Report | 2018-03-01 |
| 201733752280 | Annual Report | 2017-02-08 |
| 201692303170 | Annual Report | 2016-02-11 |
| 201554661280 | Annual Report | 2015-02-05 |
| 201433645710 | Annual Report | 2014-01-17 |
| 201205377430 | Annual Report | 2012-12-19 |
| 201289575270 | Annual Report | 2012-02-13 |
Date of last update: 06 Apr 2025
Sources: Rhode Island Department of State
