| Name: | RHODE ISLAND EMERGENCY PHYSICIANS, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 01 Jul 1977 (48 years ago) |
| Date of Dissolution: | 12 Dec 2011 (13 years ago) |
| Date of Status Change: | 12 Dec 2011 (13 years ago) |
| Identification Number: | 000019612 |
| Principal Address: | 1342 BELMONT STREET-SUITE 205, BROCKTON, MA, 02301, USA |
| Purpose: | PROVISION OF MEDICAL SERVICES AND MEDICAL OPTIONS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528009313 | 2006-06-10 | 2020-08-22 | 275 MARTINE ST, SUITE 301, FALL RIVER, MA, 027231516, US | 100 KENYON AVE, WAKEFIELD, RI, 028794216, US | |||||||||||||||||
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| Phone | +1 508-675-4683 |
| Fax | 5086757905 |
| Phone | +1 401-782-8010 |
Authorized person
| Name | STACEY FRATES |
| Role | ADMINISTRATOR |
| Phone | 5086754683 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODERICK A.J. CAVANAGH, | Agent | 148 MAIN STREET, WAKEFIELD, RI, 02879, USA |
| Name | Role | Address |
|---|---|---|
| TIMOTHY R DRURY | PRESIDENT | 100 KENYON AVENUE WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 201186911900 | Revocation Certificate For Failure to File the Annual Report for the Year | 2011-12-12 |
| 201182337290 | Revocation Notice For Failure to File An Annual Report | 2011-09-13 |
| 201056176840 | Annual Report | 2010-01-12 |
| 200942032930 | Annual Report | 2009-02-05 |
| 200806412100 | Annual Report | 2008-01-23 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
