| Name: | Women & Infants Hospital of Rhode Island |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 08 Apr 1881 (144 years ago) |
| Identification Number: | 000030397 |
| ZIP code: | 02905 |
| County: | Providence County |
| Principal Address: | 101 DUDLEY STREET, PROVIDENCE, RI, 02905, USA |
| Purpose: | ENACTED THROUGH THE GENERAL ASSEMBLY DURING THE JANUARY SESSION OF 1881 EFFECTIVE 4/08/1881. HEALTH CARE JANUARY SESSION 1881 |
| NAICS: | 622310 - Specialty (except Psychiatric and Substance Abuse) Hospitals |
| Fictitious names: |
Center for Women's Gastrointestinal Health at WIH (trading name, 2012-08-23 - ) Selectra Travel (trading name, 2001-04-27 - ) The Breast Health Center at Women & Infants Hospital (trading name, 2000-02-15 - ) |
| Historical names: |
THE PROVIDENCE LYING-IN HOSPITAL Women and Infants Hospital of Rhode Island |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104449891 | 2020-05-28 | 2020-05-28 | 101 DUDLEY ST, PROVIDENCE, RI, 029052401, US | 101 DUDLEY ST, PROVIDENCE, RI, 029052401, US | |||||||||||||
|
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| Phone | +1 401-274-1122 |
Authorized person
| Name | HEATHER-ROSE MATTIAS |
| Role | DIRECTOR CONTRACTING |
| Phone | 4019218535 |
Taxonomy
| Taxonomy Code | 291U00000X - Clinical Medical Laboratory |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MEGAN GOGUEN | Agent | 101 DUDLEY STREET, PROVIDENCE, RI, 02905, USA |
| Name | Role | Address |
|---|---|---|
| JAMES BOTVIN | SECRETARY | 12 BAGY WRINKLE COVE WARREN, RI 02885 USA |
| Name | Role | Address |
|---|---|---|
| CHARLES R. REPPUCCI | DIRECTOR | 215 SUNNYBROOK FARM ROAD NARRAGANSETT, RI 02882 USA |
| JUDITH REMONDI | DIRECTOR | 258 BRIDLE TRAIL ROAD NEEDHAM, MA 02492 USA |
| R. STEPHEN MANTY | DIRECTOR | 110 ROYAL LITTLE DRIVE PROVIDENCE, RI 02904 USA |
| KEVIN BAILL MD | DIRECTOR | 345 BLACKSTONE BOULEVARD PROVIDENCE, RI 02906 USA |
| ANA TUYA FULTON MD | DIRECTOR | 4 RICHMOND SQUARE PROVIDENCE, RI 02906 USA |
| CAROLYNN MASTERS PH.D., RN | DIRECTOR | RHODE ISLAND COLLEGE, FLS 158-600 MOUNT PLEASANT AVENUE PROVIDENCE, RI 02908 USA |
| PETER R. PHILLIPS | DIRECTOR | 156 WESTMINSTER STREET PROVIDENCE, RI 02903 USA |
| GARY E. FURTADO | DIRECTOR | 15 BETH AVENUE WARREN, RI 02885 USA |
| JOSEPH J. MCGAIR, ESQ. | DIRECTOR | 92 SANDY LANE WARWICK, RI 02889 USA |
| SHARON CONARD-WELLS | DIRECTOR | 85 MAJESTIC AVENUE WARWICK, RI 02888 USA |
| Name | Role | Address |
|---|---|---|
| SHANNON SULLIVAN | PRESIDENT | 101 DUDLEY STREET PROVIDENCE, RI 02905 USA |
| Name | Role | Address |
|---|---|---|
| R. STEPHEN MANTY | TREASURER | 110 ROYAL LITTLE DRIVE PROVIDENCE, RI 02904 USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL WAGNER MD | EX OFFICIO DIRECTOR | 4 RICHMOND SQUARE PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| TODD CONKLIN | ASSISTANT TREASURER | 4 RICHMOND SQUARE PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| ASHLEY TAYLOR ESQ | ASSISTANT SECRETARY | 4 RICHMOND SQUARE PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| R. STEPHEN MANTY | VICE CHAIRPERSON | 110 ROYAL LITTLE DRIVE PROVIDENCE, RI 02904 USA |
| Name | Role | Address |
|---|---|---|
| GARY E. FURTADO | CHAIRPERSON | 15 BETH AVENUE WARREN, RI 02885 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1995-12-15 | Women and Infants Hospital of Rhode Island | Women & Infants Hospital of Rhode Island |
| Name Change | 1974-07-30 | THE PROVIDENCE LYING-IN HOSPITAL | Women and Infants Hospital of Rhode Island |
| Number | Name | File Date |
|---|---|---|
| 202450705670 | Annual Report | 2024-04-10 |
| 202443829060 | Statement of Change of Registered/Resident Agent | 2024-01-09 |
| 202340665590 | Statement of Change of Registered/Resident Agent | 2023-08-31 |
| 202331535020 | Annual Report | 2023-03-23 |
| 202213235970 | Annual Report | 2022-03-22 |
| 202198207870 | Annual Report | 2021-06-14 |
| 202078435360 | Annual Report | 2020-12-03 |
| 201996278020 | Annual Report | 2019-06-11 |
| 201870277710 | Annual Report | 2018-06-22 |
| 201866823310 | Statement of Change of Registered/Resident Agent Office | 2018-05-23 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DELIVERY ORDER | AWARD | HHSN27500001 | 2013-06-26 | 2020-06-25 | 2020-06-25 | |||||||||||||||||||||||||
|
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| Obligated Amount | 45566.84 |
| Current Award Amount | 45566.84 |
| Potential Award Amount | 45566.84 |
Description
| Title | CONTRACEPTIVE CLINICAL TRIALS NETWORK - FEMALE SITES CORE FUNCTION ACTIVITIES |
| NAICS Code | 541712: RESEARCH AND DEVELOPMENT IN THE PHYSICAL, ENGINEERING, AND LIFE SCIENCES (EXCEPT BIOTECHNOLOGY) |
| Product and Service Codes | AN12: HEALTH R&D SERVICES; HEALTH CARE SERVICES; APPLIED RESEARCH |
Recipient Details
| Recipient | WOMEN & INFANTS HOSPITAL OF RHODE ISLAND |
| UEI | VUYJL5Q7YCZ3 |
| Recipient Address | UNITED STATES, 101 DUDLEY ST, PROVIDENCE, PROVIDENCE, RHODE ISLAND, 029052401 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
