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Coastal Medical, Inc.

Company Details

Name: Coastal Medical, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 31 Mar 1995 (30 years ago)
Date of Dissolution: 31 Aug 2024 (8 months ago)
Date of Status Change: 31 Aug 2024 (8 months ago)
Identification Number: 000083698
ZIP code: 02903
County: Providence County
Principal Address: 10 DAVOL SQUARE SUITE 400, PROVIDENCE, RI, 02903, USA
Purpose: TO PROVIDE PRIMARY CARE MEDICAL SERVICES TO PATIENTS REQUESTING SUCH SERVICES.
Historical names: Rhode Island Primary Care, Inc.

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
CHRISTOPHER FERRARO Agent COASTAL MEDICAL INC. 10 DAVOL SQUARE SUITE 300, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
DAVID FRIED M.D. PRESIDENT 10 DAVOL SQUARE PROVIDENCE, RI 02903 USA

TREASURER

Name Role Address
ROBERT CICCHELLI M.D. TREASURER 10 DAVOL SQUARE, SUITE 300 PROVIDENCE, RI 02903 USA

SECRETARY

Name Role Address
ROBERT CICCHELLI M.D. SECRETARY 10 DAVOL SQUARE, SUITE 300 PROVIDENCE, RI 02903 USA

CHAIR

Name Role Address
DAVID FRIED M.D. CHAIR 10 DAVOL SQUARE, SUITE 300 PROVIDENCE, RI 02903 USA

DIRECTOR

Name Role Address
MANOJ GARG D.O. DIRECTOR 10 DAVOL SQUARE, SUITE 300 PROVIDENCE, RI 02903 USA
RAYMOND ZARLENGO M.D. DIRECTOR 10 DAVOL SQUARE, SUITE 300 PROVIDENCE, RI 02903 USA
CRISTINA MITCHELL M.D. DIRECTOR 10 DAVOL SQUARE, SUITE 300 PROVIDENCE, RI 02903 USA

National Provider Identifier

NPI Number:
1497897870

Authorized Person:

Name:
KENNY HEINE
Role:
VP OF OPERATIONS
Phone:

Taxonomy:

Selected Taxonomy:
332900000X - Non-Pharmacy Dispensing Site
Is Primary:
Yes

Contacts:

Events

Type Date Old Value New Value
Name Change 1995-07-20 Rhode Island Primary Care, Inc. Coastal Medical, Inc.

Filings

Number Name File Date
202458754760 Articles of Dissolution 2024-08-13
202449036020 Annual Report 2024-03-21
202328095070 Annual Report 2023-02-10
202326880470 Statement of Change of Registered/Resident Agent 2023-01-30
202209147360 Annual Report 2022-02-02

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
9048600
Current Approval Amount:
9048600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
9146523.21

Court Cases

Court Case Summary

Filing Date:
2015-12-09
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Neither plaintiff nor defendant demands jury
Nature Of Suit:
Insurance

Parties

Party Name:
Coastal Medical, Inc.
Party Role:
Plaintiff
Party Name:
RELIANCE STANDARD LIFE INSURAN
Party Role:
Defendant

Date of last update: 09 Apr 2025

Sources: Rhode Island Department of State