| Name: | HOPE VALLEY AMBULANCE SQUAD, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 20 Oct 1961 (63 years ago) |
| Identification Number: | 000033873 |
| ZIP code: | 02832 |
| County: | Washington County |
| Principal Address: | 5 FAIRVIEW AVENUE, HOPE VALLEY, RI, 02832, USA |
| Purpose: | EMERGENCY MEDICAL SERVICES |
| NAICS: | 621910 - Ambulance Services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235150806 | 2006-07-21 | 2014-02-07 | PO BOX 8879, CRANSTON, RI, 029200879, US | 5 FAIRVIEW AVE, HOPE VALLEY, RI, 028320205, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-572-3120 |
| Fax | 4015723351 |
| Phone | +1 401-539-2839 |
Authorized person
| Name | MR. RICHARD A KENNEY |
| Role | TREASURER |
| Phone | 4015392839 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| License Number | 18 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9013042 |
| State | RI |
| Issuer | BC/BS PROVIDER ID |
| Number | 13042 |
| State | RI |
| Issuer | BLUE CHIP PROVIDER ID |
| Number | 402985 |
| State | RI |
| Issuer | UNITED HEALTH CARE PROV |
| Number | 81-09003 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| PATRICK HAWKINS | Agent | 5 FAIRVIEW AVENUE, HOPE VALLEY, RI, 02832, USA |
| Name | Role | Address |
|---|---|---|
| SANDIE LEE MYERS | PRESIDENT | 10 SUMMIT ROAD HOPE VALLEY, RI 02832 USA |
| Name | Role | Address |
|---|---|---|
| PATRICK HAWKINS | TREASURER | 2 SAWMILL RD HOPE VALLEY, RI 02832 USA |
| Name | Role | Address |
|---|---|---|
| DEVIN COOK | SECRETARY | HUNT ST PAWTUCKET, RI 02861 USA |
| Name | Role | Address |
|---|---|---|
| DANIEL E SHERMAN | CHIEF | 1115B MAIN ST HOPE VALLEY, RI 02832 USA |
| Name | Role | Address |
|---|---|---|
| GEORGE SHERMAN | DEPUTY CHIEF | 1060 MAIN ST HOPE VALLEY, RI 02832 USA |
| Name | Role | Address |
|---|---|---|
| KEVIN MATSON | VICE PRESIDENT | 14 GIBLIN LANE COVENTRY, RI 02832 USA |
| Name | Role | Address |
|---|---|---|
| PATRICK HAWKINS | DIRECTOR | 2 SAWMILL DRIVE HOPE VALLEY, RI 02832 USA |
| KEVIN MATSON | DIRECTOR | 14 GIBLIN LANE COVENTRY, RI 02816 USA |
| SANDIE LEE MYERS | DIRECTOR | 10 SUMMIT ROAD HOPE VALLEY, RI 02832 USA |
| Number | Name | File Date |
|---|---|---|
| 202444777720 | Annual Report | 2024-01-26 |
| 202330858850 | Annual Report | 2023-03-15 |
| 202218341270 | Statement of Change of Registered/Resident Agent | 2022-06-06 |
| 202208384630 | Annual Report | 2022-01-21 |
| 202198091640 | Annual Report | 2021-06-09 |
| 202041229190 | Annual Report | 2020-06-04 |
| 201900730710 | Annual Report | 2019-06-28 |
| 201870293260 | Annual Report | 2018-06-22 |
| 201746057280 | Annual Report | 2017-06-22 |
| 201601233330 | Annual Report | 2016-06-30 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
