| Name: | THE MEMORIAL PHYSICIAN HOSPITAL ORGANIZATION |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 21 Nov 1991 (34 years ago) |
| Date of Dissolution: | 16 Dec 2016 (8 years ago) |
| Date of Status Change: | 16 Dec 2016 (8 years ago) |
| Identification Number: | 000066374 |
| ZIP code: | 02860 |
| County: | Providence County |
| Purpose: | TO ARRANGE FOR THE DELIVERY OF AND PROVIDE FOR HEALTH CARE SERVICES |
| Principal Address: |
111 BREWSTER STREET, PAWTUCKET, RI, 02860, USA
|
| Name | Role | Address |
|---|---|---|
| JAMES E. FANALE, MD | Agent | 45 WILLARD AVENUE, PROVIDENCE, RI, 02905, USA |
| Name | Role | Address |
|---|---|---|
| MARTIN PAPAZIAN MD | PRESIDENT | 333 SCHOOL STREET, SUITE 302 PAWTUCKET, RI 02860 USA |
| Name | Role | Address |
|---|---|---|
| JAMES BURKE | TREASURER | 455 TOLL GATE ROAD WARWICK, RI 02886 USA |
| Name | Role | Address |
|---|---|---|
| JOHN LADETTO, M.D. | SECRETARY | 73 BEECHWOOD AVENUE PAWTUCKET, RI 02860 USA |
| Name | Role | Address |
|---|---|---|
| AHMAD AL-RAQQAD, M.D. | DIRECTOR | 333 SCHOOL STREET, SUITE 210 PAWTUCKET, RI 02860 USA |
| DOUGLAS GLOD, M.D. | DIRECTOR | 333 SCHOOL STREET, SUITE 102 PAWTUCKET, RI 02860 USA |
| DAVID ASHLEY, M.D. | DIRECTOR | 111 BREWSTER STREET PAWTUCKET, RI 02860 USA |
| FADI MANSOURATI, M.D. | DIRECTOR | 966 MINERAL SPRING AVENUE NORTH PROVIDENCE, RI 02904 USA |
| Number | Name | File Date |
|---|---|---|
| 201628902350 | Articles of Dissolution | 2016-12-16 |
| 201601181820 | Annual Report | 2016-06-29 |
| 201573075820 | Statement of Change of Registered/Resident Agent | 2015-08-11 |
| 201563273850 | Annual Report | 2015-06-11 |
| 201441240860 | Annual Report | 2014-06-16 |
Date of last update: 18 May 2025
Sources: Rhode Island Department of State
