| Name: | SCITUATE AMBULANCE AND RESCUE CORPS |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 15 Jun 1953 (72 years ago) |
| Identification Number: | 000030996 |
| ZIP code: | 02857 |
| County: | Providence County |
| Principal Address: | 1003 DANIELSON PIKE, SCITUATE, RI, 02857, USA |
| Purpose: | VOLUNTEER AMBULANCE AND RESCUE CORPS 116 |
| NAICS: | 621910 - Ambulance Services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891813945 | 2007-03-27 | 2013-04-04 | PO BOX 8879, CRANSTON, RI, 029200879, US | 1003 DANIELSON PIKE, SCITUATE, RI, 028571520, US | |||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-572-3120 |
| Fax | 4015723351 |
| Phone | +1 401-647-5822 |
Authorized person
| Name | MARY BETH OUELLETTE |
| Role | COMMANDER |
| Phone | 4016475822 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| License Number | 560 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 3416L0300X - Land Ambulance |
| License Number | 31 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9004451 |
| State | RI |
| Issuer | BLUECHIP |
| Number | 412494 |
| State | RI |
| Issuer | BLUECROSS BLUESHIELD |
| Number | 29832 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| DAVID M. DAGOSTINO EDQ. | Agent | 25 DANIELSON PIKE, NORTH SCITUATE, RI, 02857, USA |
| Name | Role | Address |
|---|---|---|
| PHILIP J DE SIMONE | PRESIDENT | 128 MIDVALE AVE CRANSTON, RI 02920 USA |
| Name | Role | Address |
|---|---|---|
| CLAIRE CONNORS | TREASURER | 112 SOUTH KILLINGLY RD FOSTER, RI 02825 USA |
| Name | Role | Address |
|---|---|---|
| GORDON BRIGGS | SECRETARY | 12 JASMINE LN JOHNSTON, RI 02919 USA |
| Name | Role | Address |
|---|---|---|
| ALBERT OUELLETTE | VICE PRESIDENT | 637 ELMDALE RD SCITUATE, RI 02857 USA |
| Name | Role | Address |
|---|---|---|
| ALBERT OUELLETTE | DIRECTOR | 637 ELMDALE RD SCITUATE, RI 02857 USA |
| GORDON BRIGGS | DIRECTOR | 12 JASMINE LN JOHNSTON, RI 02919 USA |
| PHILIP DE SIMONE | DIRECTOR | 128 MIDVALE AVE CRANSTON, RI 02920 USA |
| Number | Name | File Date |
|---|---|---|
| 202454587920 | Statement of Change of Registered/Resident Agent | 2024-05-17 |
| 202454316160 | Annual Report | 2024-05-14 |
| 202454325450 | Annual Report | 2024-05-14 |
| 202454325540 | Annual Report | 2024-05-14 |
| 202454337840 | Annual Report | 2024-05-14 |
| 202454337110 | Annual Report | 2024-05-14 |
| 202454337390 | Annual Report | 2024-05-14 |
| 202454337660 | Annual Report | 2024-05-14 |
| 202454316070 | Reinstatement | 2024-05-14 |
| 201989735000 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-04-03 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
