| Name: | MEDICUS, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 23 Jun 1988 (37 years ago) |
| Identification Number: | 000047440 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 447 SMITHFIELD AVENUE, NORTH PROVIDENCE, RI, 02904, USA |
| Purpose: | OWN AND OPERATE A MEDICAL EMERGENCY ROOM |
| Fictitious names: |
Providence Medical Healthcare Center (trading name, 2002-08-05 - ) |
NAICS
621498 All Other Outpatient Care CentersThis U.S. industry comprises establishments with medical staff primarily engaged in providing general or specialized outpatient care (except family planning centers, outpatient mental health and substance abuse centers, HMO medical centers, kidney dialysis centers, and freestanding ambulatory surgical and emergency centers). Centers or clinics of health practitioners with different degrees from more than one industry practicing within the same establishment (i.e., Doctor of Medicine and Doctor of Dental Medicine) are included in this industry. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164575338 | 2007-01-19 | 2007-10-29 | 80 DEAN ST, PROVIDENCE, RI, 029031504, US | 80 DEAN ST, PROVIDENCE, RI, 029031504, US | |||||||||||||||||||||
|
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| Phone | +1 401-521-3270 |
| Fax | 4015216532 |
Authorized person
| Name | DR. JOHN SILVIO VITELLI |
| Role | TREASURER |
| Phone | 4015213270 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PM24729 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| DAVID E. MAGLIO, ESQ. | Agent | THE OWEN BUILDING 101 DYER STREET 2ND FLOOR, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| WILLIAM A PALUMBO | PRESIDENT | 447 SMITHFILED AVENUE N. PROVIDENCE, RI 02904 USA |
| Name | Role | Address |
|---|---|---|
| JOHN SILVIO VITELLI MD | TREASURER | 124 NEW STREET REHOBOTH, MA 02769 USA |
| Name | Role | Address |
|---|---|---|
| VINCENT PERA MD | VICE PRESIDENT | 36 CROCUS DRIVE CRANSTON, RI 02920 UDA |
| Number | Name | File Date |
|---|---|---|
| 202451849210 | Annual Report | 2024-04-22 |
| 202327091910 | Annual Report | 2023-02-01 |
| 202208795670 | Annual Report | 2022-01-28 |
| 202191447390 | Annual Report | 2021-02-16 |
| 202032611230 | Annual Report | 2020-01-20 |
| 201883309550 | Annual Report | 2018-12-27 |
| 201858072980 | Annual Report | 2018-02-12 |
| 201730384790 | Annual Report | 2017-01-18 |
| 201692233990 | Annual Report | 2016-02-10 |
| 201554679410 | Annual Report | 2015-02-06 |
Date of last update: 07 Apr 2025
Sources: Rhode Island Department of State
