Name: | Comprehensive Medical Care, Inc. |
Jurisdiction: | Rhode Island |
Entity type: | Professional Service Corporation |
Status: | Dissolved |
Date of Organization in Rhode Island: | 04 Jan 1991 (34 years ago) |
Date of Dissolution: | 23 Feb 2022 (3 years ago) |
Date of Status Change: | 23 Feb 2022 (3 years ago) |
Identification Number: | 000062936 |
ZIP code: | 02865 |
County: | Providence County |
Principal Address: | 132 OLD RIVER ROAD SUITE 108, LINCOLN, RI, 02865, USA |
Purpose: | PHYSICIAN OFFICE MEDICAL SERVICES |
NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1467578898 | 2007-03-21 | 2020-08-22 | 132 OLD RIVER RD, SUITE 108, LINCOLN, RI, 028651161, US | 132 OLD RIVER RD, SUITE 108, LINCOLN, RI, 028651161, US | |||||||||||||||||||||||||||||||
|
Phone | +1 401-334-1044 |
Fax | 4013341054 |
Authorized person
Name | LINDA A. DELUCA |
Role | PHYSICIAN |
Phone | 4013341044 |
Taxonomy
Taxonomy Code | 207R00000X - Internal Medicine Physician |
License Number | RI6572 |
State | RI |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CHIP OF RI |
Number | 004303 |
State | RI |
Issuer | BLUE CROSS BLUE SHIELD |
Number | 20058-3 |
State | RI |
Name | Role | Address |
---|---|---|
LINDA A. DE LUCA, MD | Agent | 132 OLD RIVER ROAD, LINCOLN, RI, 02865, USA |
Name | Role | Address |
---|---|---|
LINDA A DELUCA | PRESIDENT | 132 OLD RIVER ROAD, SUITE 108 LINCOLN, RI 02865 USA |
Number | Name | File Date |
---|---|---|
202211461920 | Articles of Dissolution | 2022-02-23 |
202183977140 | Annual Report | 2021-01-04 |
201929731550 | Annual Report | 2019-12-11 |
201882804380 | Annual Report | 2018-12-18 |
201754999570 | Annual Report | 2017-12-13 |
201729898390 | Annual Report | 2017-01-11 |
201589003860 | Annual Report | 2015-12-10 |
201553861320 | Annual Report | 2015-01-19 |
201331928870 | Annual Report | 2013-12-17 |
201205314660 | Annual Report | 2012-12-17 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State