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  5. LIFESPAN PHYSICIAN GROUP, INC.

LIFESPAN PHYSICIAN GROUP, INC.

Headquarter

Company Details

Name: LIFESPAN PHYSICIAN GROUP, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 22 Jan 1981 (44 years ago)
Identification Number: 000028426
ZIP code: 02903
County: Providence County
Purpose: RESEARCH, EDUCATION AND DIRECT PATIENT CARE
Fictitious names: Brown University Health Urgent Care (trading name, 2024-08-19 - )
Brown Health Medical Group (trading name, 2024-08-19 - )
Brown Health Medical Group Specialty Care (trading name, 2024-08-19 - )
Lifespan Urgent Care (trading name, 2019-07-22 - )
OB-GYN Associates, a Lifespan Physcian Group Practice (trading name, 2013-08-05 - 2024-08-21)
Historical names: RIH Cardiology Foundation, Inc.
University Cardiology Foundation, Inc.
Principal Address: Google Maps Logo 167 POINT STREET, PROVIDENCE, RI, 02903, USA

Contact Details

Phone +1 401-606-2590
+1 401-606-3110
+1 401-606-2610
+1 401-606-2520

Industry & Business Activity

NAICS

622110 General Medical and Surgical Hospitals

This industry comprises establishments known and licensed as general medical and surgical hospitals primarily engaged in providing diagnostic and medical treatment (both surgical and nonsurgical) to inpatients with any of a wide variety of medical conditions. These establishments maintain inpatient beds and provide patients with food services that meet their nutritional requirements. These hospitals have an organized staff of physicians and other medical staff to provide patient care services. These establishments usually provide other services, such as outpatient services, anatomical pathology services, diagnostic X-ray services, clinical laboratory services, operating room services for a variety of procedures, and pharmacy services. Learn more at the U.S. Census Bureau

Companies doing General medical and surgical hospitals

Agent

Name Role Address
PAUL J. ADLER Agent 245 CHAPMAN STREET SUITE 200, PROVIDENCE, RI, 02905, USA

DIRECTOR

Name Role Address
HENRY SACHS, M.D. DIRECTOR 1011 VETERANS MEMORIAL PKWY EAST PROVIDENCE, RI 02915 USA

PRESIDENT

Name Role Address
BABAR KHOKHAR MD PRESIDENT 167 POINT STREET PROVIDENCE, RI 02903 USA

Links between entities

Type:
Headquarter of
Company Number:
1082039
State:
CONNECTICUT
URL:
View linked company profile

National Provider Identifier

NPI Number:
1285191163
Certification Date:
2024-09-18
Link:
View on NPI website

Authorized Person:

Name:
MR. PETER K MARKELL
Role:
EVP & CFO
Phone:
4014447914

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
No
Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 401-444-6779
Fax:
4014446912
Phone:
+1 401-606-2520
Fax:
4013847190

Form 5500 Series

Employer Identification Number (EIN):
050389801
Plan Year:
2012
Number Of Participants:
18
Sponsors Telephone Number:
4012280205
File:
View File
Plan Year:
2011
Number Of Participants:
16
Sponsors Telephone Number:
4012280205
File:
View File
Plan Year:
2010
Number Of Participants:
17
Sponsors Telephone Number:
4012280205
File:
View File
Plan Year:
2009
Number Of Participants:
19
Sponsors Telephone Number:
4012280205
File:
View File

Events

Type Date Old Value New Value
Name Change 2012-05-25 University Cardiology Foundation, Inc. LIFESPAN PHYSICIAN GROUP, INC.
Name Change 1998-12-15 RIH Cardiology Foundation, Inc. University Cardiology Foundation, Inc.

Licenses

License No License Type Status Date Issued Expiration Date
SRF0420 Specific Radiology Facility (Single) Active 2022-12-08 2025-08-31
SRF0406 Specific Radiology Facility (Single) Active 2020-09-24 2025-08-31
SRF0397 Specific Radiology Facility (Single) Active 2019-10-23 2025-08-31
SRF0392 Specific Radiology Facility (Single) Active 2019-09-11 2025-08-31

Filings

Number Name File Date
202458973260 Statement of Abandonment of Use of Fictitious Business Name 2024-08-21
202458913220 Fictitious Business Name Statement 2024-08-19
202458913040 Fictitious Business Name Statement 2024-08-19
202458912890 Fictitious Business Name Statement 2024-08-19
202449067240 Annual Report 2024-03-14

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 CONTINUATION
UCC Filing Number:
202228285850
Filing Date:
2023-01-03
Action:
Continuation

Parties

Party Name:
LIFESPAN PHYSICIAN GROUP, INC.
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
201819729100
Filing Date:
2018-06-04
Action:
InitialFiling

Parties

Party Name:
LIFESPAN PHYSICIAN GROUP, INC.
Party Role:
Debtor(s)
Party Name:
Integrated Commercialization Solutions, LLC
Party Role:
Secured Parties

Expenditures

Agency Date Program Subprogram Amount
Office of the General Treasurer 2025-04-25 STATE RETIREMENT SYSTEM Defined Benefit 2400.0
Office of the General Treasurer 2025-04-18 STATE RETIREMENT SYSTEM Defined Benefit 4050.0
Office of the General Treasurer 2025-04-11 CRIME VICTIM COMPENSATION PROGRAM Operations 2004.0
Office of the General Treasurer 2025-03-28 STATE RETIREMENT SYSTEM Defined Benefit 1800.0
Office of the General Treasurer 2025-03-03 STATE RETIREMENT SYSTEM Defined Benefit 2100.0

Tax Exempt

Employer Identification Number (EIN) :
05-0389801
In Care Of Name:
% MARY A WAKEFIELD EVP & CFO
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:
1982-09
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Related by officers

PAUL J. ADLER

HOSPITAL PROPERTIES, INC. HUMAN SERVICES REALTY, INC. NEWPORT HOSPITAL FOUNDATION, INC. NEWPORT HEALTH PROPERTY MANAGEMENT, INC. THE MIRIAM HOSPITAL THE MIRIAM HOSPITAL FOUNDATION Lifespan Diversified Services, Inc. RHODE ISLAND HOSPITAL LIFESPAN CORPORATION RIH VENTURES

BABAR KHOKHAR MD

LIFESPAN MSO, INC.

Related by address

167 POINT STREET, PROVIDENCE, RI, 02903, USA

NEWPORT HEALTH PROPERTY MANAGEMENT, INC. Lifespan Diversified Services, Inc. DOWNING REALTY CORP. DOWNING/INDIAN LAKE, INC. LIFESPAN CORPORATION DOWNING/INDIAN LAKE ASSOCIATES, INC. Royal Oak Trust, Inc. Downing Seaport, Inc. LIFESPAN FOUNDATION

Date of last update: 17 May 2025

Sources: Rhode Island Department of State

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