| 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 |
| NAICS: | 621498 - All Other Outpatient Care Centers |
| 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. |
| 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 Oct 2024
Sources: Rhode Island Department of State
