| Name: | South County Hospital Healthcare System |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 16 Mar 1989 (36 years ago) |
| Identification Number: | 000054716 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 100 KENYON AVENUE, WAKEFIELD, RI, 02879, USA |
| Purpose: | MAINTAINING A HOSPITAL FOR THE SICK, DISABLED AND INJURED |
| Fictitious names: |
New England Special Surgery Hospital (trading name, 2021-06-01 - ) South County Medical Group – Westerly Urgent Care (trading name, 2016-02-12 - ) South County Medical Group - East Greenwich Urgent Care (trading name, 2016-02-12 - ) South County Healthcare (trading name, 2015-05-07 - ) South County Health (trading name, 2015-05-07 - ) South County Medical Group - Wound Care (trading name, 2015-01-06 - ) South County Medical Group - South County Cardiology (trading name, 2015-01-06 - ) South County Medical Group - Shoreline Podiatry (trading name, 2015-01-06 - ) South County Medical Group - Shoreline Nephrology & Hypertension Associates (trading name, 2015-01-06 - ) South County Medical Group - Oncology/Hematology (trading name, 2015-01-06 - ) South County Medical Group - Infectious Disease and Lyme Disease (trading name, 2015-01-06 - ) South County Medical Group - Hospitalists (trading name, 2015-01-06 - ) South County Medical Group - General Surgery (trading name, 2015-01-06 - ) South County Medical Group - Endocrinology (trading name, 2015-01-06 - ) South County Medical Group - Center for Women's Health (Obstetrics & Gynecology) (trading name, 2015-01-06 - ) South County Medical Group - Behavioral Health (trading name, 2015-01-06 - ) South County Medical Group - Urgent Care & Occupational Health (trading name, 2015-01-06 - ) South County Medical Group - Westerly Primary Care (trading name, 2015-01-06 - ) South County Medical Group - Wakefield Primary Care (trading name, 2015-01-06 - ) South County Medical Group-East Greenwich Family Medicine (trading name, 2015-01-06 - ) South County Cardiology (trading name, 2013-03-15 - ) South County Hospital Center for Women's Health (trading name, 2008-11-12 - ) South County Hospital Medical & Wellness Center (trading name, 2008-09-25 - ) South County Hospital Orthopedics Center (trading name, 2007-04-24 - ) South County Healthcare Corporation (trading name, 2000-05-31 - ) South County Hospital (trading name, 1999-06-29 - ) Medical Answering Service of Southern Rhode Island (trading name, 1994-09-22 - ) |
| Historical names: |
South County Hospital, Inc. |
NAICS
622110 General Medical and Surgical HospitalsThis industry comprises establishments known and licensed as general medical and surgical hospitals primarily engaged in providing diagnostic and medical treatment (both surgical and nonsurgical) to inpatients with any of a wide variety of medical conditions. These establishments maintain inpatient beds and provide patients with food services that meet their nutritional requirements. These hospitals have an organized staff of physicians and other medical staff to provide patient care services. These establishments usually provide other services, such as outpatient services, anatomical pathology services, diagnostic X-ray services, clinical laboratory services, operating room services for a variety of procedures, and pharmacy services. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851746259 | 2016-05-04 | 2016-05-04 | 100 KENYON AVE, WAKEFIELD, RI, 028794216, US | 100 KENYON AVE, WAKEFIELD, RI, 028794216, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 401-788-1430 |
Authorized person
| Name | MS. CHRISTINE E STOUT |
| Role | FAMILY PRACTICE |
| Phone | 4017881430 |
Taxonomy
| Taxonomy Code | 282N00000X - General Acute Care Hospital |
| Is Primary | Yes |
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 549300EN44UX2EAKVV83 | 000054716 | US-RI | GENERAL | ACTIVE | 1989-03-16 | |||||||||||||||||||
|
||||||||||||||||||||||||
| Legal | C/O AARON ROBINSON, 100 KENYON AVENUE, WAKEFIELD, US-RI, US, 02879 |
| Headquarters | 100 Kenyon Avenue, Wakefield-Peacedale, US-RI, US, 02879 |
Registration details
| Registration Date | 2013-10-12 |
| Last Update | 2023-08-04 |
| Status | LAPSED |
| Next Renewal | 2023-07-06 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 000054716 |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTH COUNTY HOSPITAL RETIREMENT PLAN | 2009 | 050445136 | 2011-07-15 | SOUTH COUNTY HOSPITAL, INC. | 901 | |||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 050445136 |
| Plan administrator’s name | SOUTH COUNTY HOSPITAL, INC. |
| Plan administrator’s address | 100 KENYON AVENUE, WAKEFIELD, RI, 028794216 |
| Administrator’s telephone number | 4017828000 |
Number of participants as of the end of the plan year
| Active participants | 419 |
| Retired or separated participants receiving benefits | 211 |
| Other retired or separated participants entitled to future benefits | 257 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 13 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 1 |
Signature of
| Role | Plan administrator |
| Date | 2011-07-15 |
| Name of individual signing | MARGARET THOMAS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Plan sponsor’s mailing address | 100 KENYON AVENUE, WAKEFIELD, RI, 02879 |
| Plan sponsor’s address | 100 KENYON AVENUE, WAKEFIELD, RI, 02879 |
Plan administrator’s name and address
| Administrator’s EIN | 050445136 |
| Plan administrator’s name | SOUTH COUNTY HOSPITAL, INC. |
| Plan administrator’s address | 100 KENYON AVENUE, WAKEFIELD, RI, 02879 |
| Name | Role | Address |
|---|---|---|
| AARON ROBINSON | Agent | 100 KENYON AVENUE, WAKEFIELD, RI, 02879, USA |
| Name | Role | Address |
|---|---|---|
| AARON ROBINSON | PRESIDENT | 100 KENYON AVENUE WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| BETTY RAMBUR | TREASURER | 100 KENYON AVE. WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| NOAH BENEDICT | SECRETARY | 100 KENYON AVE. WAKEFIELD, RI 02879 USA |
| Name | Role | Address |
|---|---|---|
| SANDY COLETTA | DIRECTOR | 100 KENYON AVE. WAKEFIELD, RI 02879 USA |
| ROBERT DYER | DIRECTOR | 100 KENYON AVE. WAKEFIELD, RI 02879 USA |
| JOHN HOWLAND | DIRECTOR | 100 KENYON AVE. WAKEFIELD, RI 02879 USA |
| ROGEAN MAKOWSKI | DIRECTOR | 100 KENYON AVE. WAKEFIELD, RI 02879 USA |
| RICK NORBERG | DIRECTOR | 100 KENYON AVE. WAKEFIELD, RI 02879 USA |
| JOSEPH F. MATTHEWS | DIRECTOR | 100 KENYON AVE. WAKEFIELD, RI 02879 USA |
| VICTORIA WICKS | DIRECTOR | 100 KENYON AVENUE WAKEFIELD, RI 02879 USA |
| JASON MARSHALL | DIRECTOR | 100 KENYON AVE. WAKEFIELD, RI 02879 USA |
| AUSTIN SMITH | DIRECTOR | 100 KENYON AVE. WAKEFIELD, RI 02879 USA |
| BARBARA WOLFE | DIRECTOR | 100 KENYON AVE. WAKEFIELD, RI 02879 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Merged | 2000-05-08 | South County Health Care Corporation | South County Hospital Healthcare System |
| Name Change | 1999-06-10 | South County Hospital, Inc. | South County Hospital Healthcare System |
| Number | Name | File Date |
|---|---|---|
| 202445048720 | Annual Report | 2024-01-30 |
| 202338569190 | Annual Report | 2023-06-21 |
| 202338455790 | Revocation Notice For Failure to File An Annual Report | 2023-06-20 |
| 202220598200 | Annual Report | 2022-06-28 |
| 202220507400 | Revocation Notice For Failure to File An Annual Report | 2022-06-28 |
| 202198648060 | Annual Report | 2021-06-24 |
| 202197305270 | Fictitious Business Name Statement | 2021-06-01 |
| 202041538580 | Annual Report | 2020-06-04 |
| 202036620210 | Statement of Change of Registered/Resident Agent | 2020-03-20 |
| 201994888410 | Annual Report | 2019-05-29 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| D1BIT16646 | Department of Health and Human Services | 93.888 - SPECIALLY SELECTED HEALTH PROJECTS | 2009-09-01 | 2010-08-31 | CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS | |||||||||||||||||||||
|
||||||||||||||||||||||||||
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 314915810 | 0112300 | 2010-12-29 | 100 KENYON AVE., WAKEFIELD, RI, 02879 | |||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||
| Type | Complaint |
| Activity Nr | 208004929 |
| Health | Yes |
| Inspection Type | Complaint |
| Scope | Partial |
| Safety/Health | Health |
| Close Conference | 2000-10-13 |
| Case Closed | 2000-10-13 |
Related Activity
| Type | Complaint |
| Activity Nr | 202466082 |
| Health | Yes |
| Inspection Type | Complaint |
| Scope | Partial |
| Safety/Health | Health |
| Close Conference | 1991-02-06 |
| Emphasis | N: BLOOD |
| Case Closed | 1991-03-25 |
Related Activity
| Type | Complaint |
| Activity Nr | 73896821 |
| Health | Yes |
| Type | Complaint |
| Activity Nr | 73897233 |
| Health | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19100134 F02 IV |
| Issuance Date | 1991-02-27 |
| Abatement Due Date | 1991-03-06 |
| Nr Instances | 1 |
| Nr Exposed | 8 |
| Gravity | 00 |
Date of last update: 07 Apr 2025
Sources: Rhode Island Department of State
