| Name: | NHCC MEDICAL ASSOCIATES, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 25 Jun 1993 (32 years ago) |
| Identification Number: | 000073023 |
| ZIP code: | 02840 |
| County: | Newport County |
| Principal Address: | 11 FRIENDSHIP STREET, NEWPORT, RI, 02840, USA |
| Purpose: | SUPPORT, ENCOURAGE AND COORDINATE DEVELOPMENT OF COMPREHENSIVE, INTEGRATED HEALTH CARE-RELATED SERVICES. |
| Fictitious names: |
Family Physicians of Newport (trading name, 1994-01-26 - ) Family Physicians of Tiverton and Little Compton (trading name, 1994-01-26 - ) Family Physicians of Bristol (trading name, 1994-01-26 - ) |
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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1598762304 | 2005-07-07 | 2011-01-21 | 275 BROADWAY, NEWPORT, RI, 028402612, US | 275 BROADWAY, UNIT 2, NEWPORT, RI, 028402612, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-845-1472 |
| Fax | 4018464874 |
Authorized person
| Name | FRANK BYRNE |
| Role | CFO- DIRECTOR OF FINANCE |
| Phone | 4018451545 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PS00223 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RI0200X - Infectious Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | No |
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | No |
| Taxonomy Code | 208100000X - Physical Medicine & Rehabilitation Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0400X - Neurology Physician |
| Is Primary | No |
| Taxonomy Code | 2084N0600X - Clinical Neurophysiology Physician |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 2086S0105X - Surgery of the Hand (Surgery) Physician |
| Is Primary | No |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9002585 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| PAUL J. ADLER | Agent | 245 CHAPMAN STREET SUITE 200, PROVIDENCE, RI, 02905, USA |
| Name | Role | Address |
|---|---|---|
| JEFFREY T GAINES MD | PRESIDENT | 11 FRIENDSHIP STREET NEWPORT, RI 02840 USA |
| Name | Role | Address |
|---|---|---|
| G. DEAN ROYE M.D. | DIRECTOR | 593 EDDY STREET PROVIDENCE, RI 02903 USA |
| Number | Name | File Date |
|---|---|---|
| 202449067510 | Annual Report | 2024-03-14 |
| 202334044060 | Annual Report | 2023-04-26 |
| 202213203870 | Annual Report | 2022-03-21 |
| 202199504680 | Annual Report | 2021-07-23 |
| 202043385290 | Annual Report | 2020-06-26 |
| 201914609000 | Annual Report | 2019-08-22 |
| 201988698180 | Statement of Change of Registered/Resident Agent | 2019-03-15 |
| 201876282600 | Annual Report | 2018-08-30 |
| 201859038840 | Annual Report | 2018-02-23 |
| 201857372270 | Revocation Notice For Failure to File An Annual Report | 2018-02-02 |
Date of last update: 08 Apr 2025
Sources: Rhode Island Department of State
