| 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 |
| NAICS: | 621498 - All Other Outpatient Care Centers |
| Fictitious names: |
Providence Medical Healthcare Center (trading name, 2002-08-05 - ) |
| 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 | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| 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 Oct 2024
Sources: Rhode Island Department of State
