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Northwest Community Health Care

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Company Details

Name: Northwest Community Health Care
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 23 Sep 1929 (96 years ago)
Identification Number: 000028216
ZIP code: 02859
City: Pascoag
County: Providence County
Purpose: CHARITABLE, SCIENTIFIC, LITERARY AND EDUCATIONAL
Fictitious names: WellOne Behavioral Health Services (trading name, 2009-07-30 - )
WellOne Primary Medical and Dental Care (trading name, 2009-07-30 - )
WellOne (trading name, 2009-07-30 - )
Bayside Family Healthcare (trading name, 2008-06-30 - )
Northwest Health Center (trading name, 2002-05-30 - )
Northwest Mental Health (trading name, 2000-04-26 - )
Northwest Dental Associates (trading name, 2000-04-26 - )
Historical names: NORTHWEST COMMUNITY NURSING AND HEALTH SERVICE
Principal Address: Google Maps Logo 36 BRIDGEWAY P.O. BOX 312, PASCOAG, RI, 02859, USA

Contact Details

Phone +1 401-647-6262

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Companies doing Offices of physicians (except mental health specialists)

Agent

Name Role Address
PETER BANCROFT Agent 36 BRIDGEWAY P.O. BOX 312, PASCOAG, RI, 02859, USA

TREASURER

Name Role Address
SARAH NOTTAGE TREASURER 21 DAVID ST. CRANSTON, RI 02920 USA

SECRETARY

Name Role Address
DAVID FERRARA SECRETARY 21 GARDEN CITY DRIVE CRANSTON, RI 02920 USA

ASSISTANT SECRETARY

Name Role Address
JOSEPH CASEY ASSISTANT SECRETARY 11 PARTRIDGE TRAIL BELLINGHAM, MA 02019 USA

VICE PRESIDENT

Name Role Address
DIANE HOPPER VICE PRESIDENT 50 STEAMBOAT ST. JAMESTOWN, RI 02835 USA
DEIRDRE NORTON VICE PRESIDENT 45 HOOD AVENUE RUMFORD, RI 02916 USA
ANDREA MARCOTTE VICE PRESIDENT 37 MORTIN AVENUE JOHNSTON, RI 02919 USA

PRESIDENT

Name Role Address
PETER BANCROFT PRESIDENT 81 SEAWARD LANE FALL RIVER, MA 02720-

DIRECTOR

Name Role Address
CHRISTINE VALLEE DIRECTOR 1180 DOUGLAS PIKE HARRISVILLE, RI 02830 USA
GERARD GOULET DIRECTOR 215 CRESTWOOD ROAD WARWICK, RI 02886 USA
JOAN HILTON DIRECTOR 11 BLUEBERRY LANE JOHNSTON, RI 02919 USA
DARYA KRAVITZ DIRECTOR 211 KNIBB ROAD PASCOAG, RI 02859 USA
MARGARET DUDLEY DIRECTOR 10 MILL POND RD. HARRISVILLE, RI 02830 USA
DENNIS ANDERSON DIRECTOR 593 WHIPPLE ROAD PASCOAG, RI 02859 USA
DAVID DEJESUS JR. DIRECTOR 222 EDMOND DR. NO. KINGSTOWN, RI 02852 USA
CRYSTAL LEDDY DIRECTOR 98 ORCHARD MEADOWS DR. SMITHFIELD, RI 02917 USA
BETHANY STOCKFORD DIRECTOR 21 VALLEY VIEW DR. NO. SCITUATE, RI 02857 USA
JANE HAYWARD DIRECTOR 77 SECLUDED DR. NARRAGANSETT, RI 02882 USA

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
N6KVU5YZMK85
CAGE Code:
3ZKY5
UEI Expiration Date:
2025-10-11

Business Information

Activation Date:
2024-10-15
Initial Registration Date:
2004-08-13

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
3ZKY5
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-10-15
SAM Expiration:
2025-10-11

Contact Information

POC:
PETER BANCROFT

National Provider Identifier

NPI Number:
1003362864
Link:
View on NPI website

Authorized Person:

Name:
PETER BANCROFT
Role:
PRESIDENT/CEO
Phone:
4012855119

Taxonomy:

Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Phone:
+1 401-567-0800
Fax:
4015670900

Form 5500 Series

Employer Identification Number (EIN):
050258811
Plan Year:
2022
Number Of Participants:
205
Sponsor's telephone number:
4015670800
File:
View File
Plan Year:
2021
Number Of Participants:
211
Sponsor's telephone number:
4015670800
File:
View File
Plan Year:
2020
Number Of Participants:
153
Sponsor's telephone number:
4015670800
File:
View File
Plan Year:
2019
Number Of Participants:
156
Sponsor's telephone number:
4015670800
File:
View File
Plan Year:
2018
Number Of Participants:
146
Sponsor's telephone number:
4015670800
File:
View File

Events

Type Date Old Value New Value
Merged 2008-07-01 Bayside Family Healthcare, Inc. on Northwest Community Health Care
Merged 2003-01-01 NW HEALTH CENTER on Northwest Community Health Care
Name Change 2002-05-30 NORTHWEST COMMUNITY NURSING AND HEALTH SERVICE Northwest Community Health Care

Licenses

License No License Type Status Date Issued Expiration Date
CO.9300166 Charitable Organization ACTIVE No data 2026-05-04
DEF0842 Dental X-ray Facility Active 2016-08-22 2025-08-31

Filings

Number Name File Date
202449275500 Annual Report 2024-03-25
202332110460 Annual Report 2023-03-31
202213916220 Annual Report 2022-04-04
202198417530 Annual Report 2021-06-18
202043803280 Annual Report 2020-06-30

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-3 TERMINATION
UCC Filing Number:
202023412370
Filing Date:
2020-08-05
Action:
TerminationSecuredParty

Parties

Party Name:
Northwest Community Health Care
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
202022072070
Filing Date:
2020-01-08
Action:
InitialFiling

Parties

Party Name:
Northwest Community Health Care
Party Role:
Debtor(s)
Party Name:
CARDINAL HEALTH 110 LLC, AS AGENT
Party Role:
Secured Parties

Expenditures

Agency Date Program Subprogram Amount
Department of Health 2025-04-30 Community and Family Health and Equity Chronic Care and Disease Management 623.1
Department of Health 2025-04-30 Community and Family Health and Equity Preventitive Services and Community Practices 2156.21
Department of Health 2025-04-01 Community and Family Health and Equity Chronic Care and Disease Management 2950.65
Department of Health 2025-03-11 Community and Family Health and Equity Preventitive Services and Community Practices 6744.78
Department of Health 2025-03-11 Community and Family Health and Equity Chronic Care and Disease Management 5361.53

USAspending Awards / Financial Assistance

Business Type:
OTHER
Date:
2023-08-29
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 BRIDGE ACCESS PROGRAM
Obligated Amount:
$15,598
Face Value Of Loan:
$0
Total Face Value Of Loan:
$0
Business Type:
OTHER
Date:
2023-08-22
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 EXPANDING COVID-19 VACCINATION
Obligated Amount:
$60,042
Face Value Of Loan:
$0
Total Face Value Of Loan:
$0
Business Type:
OTHER
Date:
2021-09-20
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HEALTH CENTER INFRASTRUCTURE SUPPORT
Obligated Amount:
$682,171
Face Value Of Loan:
$0
Total Face Value Of Loan:
$0
Business Type:
OTHER
Date:
2021-03-27
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS
Obligated Amount:
$2,915,125
Face Value Of Loan:
$0
Total Face Value Of Loan:
$0
Business Type:
OTHER
Date:
2020-05-05
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)
Obligated Amount:
$141,388
Face Value Of Loan:
$0
Total Face Value Of Loan:
$0

Tax Exempt

Employer Identification Number (EIN) :
05-0258811
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1972-09
National Taxonomy Of Exempt Entities:
Health Care: Health - General and Rehabilitative N.E.C.
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
137
Initial Approval Amount:
$2,008,000
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,335,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,341,757.21
Servicing Lender:
Citizens Bank, National Association
Use of Proceeds:
Payroll: $1,335,100

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Date of last update: 07 Jul 2025

Sources: Rhode Island Department of State

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