| Name: | Roger Williams PHO, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 17 Dec 1993 (31 years ago) |
| Date of Dissolution: | 18 Feb 2015 (10 years ago) |
| Date of Status Change: | 18 Feb 2015 (10 years ago) |
| Identification Number: | 000075023 |
| ZIP code: | 02908 |
| County: | Providence County |
| Purpose: | TO ARRANGE FOR THE PROVISION OF HEALTH CARE SERVICES |
| Principal Address: |
825 CHALKSTONE AVENUE, PROVIDENCE, RI, 02908, USA
|
| Name | Role | Address |
|---|---|---|
| JOYCE C. HACKLEY | Agent | 825 CHALKSTONE AVENUE, PROVIDENCE, RI, 02908, USA |
| Name | Role | Address |
|---|---|---|
| KENNETH H BELCHER | PRESIDENT | 825 CHALKSTONE AVENUE PROVIDENCE, RI 02908 USA |
| Name | Role | Address |
|---|---|---|
| KIM CRAWFORD MD | DIRECTOR | NORTH SCITUATE MEDICAL CENTER, P.O. BOX 428 NORTH SCITUATE, RI 02857 USA |
| Number | Name | File Date |
|---|---|---|
| 201555194390 | Revocation Certificate For Failure to File the Annual Report for the Year | 2015-02-18 |
| 201449659420 | Revocation Notice For Failure to File An Annual Report | 2014-11-06 |
| 201324866000 | Annual Report | 2013-06-24 |
| 201294306740 | Annual Report | 2012-06-26 |
| 201180858670 | Annual Report | 2011-06-30 |
Date of last update: 19 May 2025
Sources: Rhode Island Department of State
