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Chad Brown Health Center

Company Details

Name: Chad Brown Health Center
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Merged Into An Entity Of Record
Date of Organization in Rhode Island: 13 Nov 1990 (35 years ago)
Date of Dissolution: 01 Dec 2011 (14 years ago)
Date of Status Change: 01 Dec 2011 (14 years ago)
Identification Number: 000062432
ZIP code: 02908
County: Providence County
Purpose: COMMUNITY HEALTH CARE
Principal Address: Google Maps Logo 285A CHAD BROWN STREET, PROVIDENCE, RI, 02908, USA

Agent

Name Role Address
RICHARD PERREAULT Agent 285A CHAD BROWN STREET, PROVIDENCE, RI, 02908, USA

PRESIDENT

Name Role Address
RICHARD PERREAULT PRESIDENT 211 WOODRIDGE DRIVE SAUNDERSTOWN, RI 02874- USA

DIRECTOR

Name Role Address
ELVYS RUIZ DIRECTOR 52 BISMARK STREET PROVIDENCE, RI 02904 USA

National Provider Identifier

NPI Number:
1053443911

Authorized Person:

Name:
NANCY CLANCY
Role:
FINANCE
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4014539619
Fax:
4014536290

Form 5500 Series

Employer Identification Number (EIN):
050391357
Plan Year:
2010
Number Of Participants:
14
Sponsors Telephone Number:

Events

Type Date Old Value New Value
Merged 2011-12-01 Chad Brown Health Center The Providence Community Health Centers, Inc. on

Licenses

License No License Type Status Date Issued Expiration Date
CO.9400075 Charitable Organization INACTIVE No data 2005-03-11
ACF01526 Organized Amb. Care Facility Closed 1987-10-05 2001-12-31

Filings

Number Name File Date
201183438770 Annual Report 2011-09-26
201066437650 Annual Report 2010-07-30
200948012800 Annual Report 2009-07-07
200812039920 Annual Report 2008-06-17

Date of last update: 18 May 2025

Sources: Rhode Island Department of State