| Name: | CRAWFORD FAMILY MEDICINE, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 07 Apr 1995 (30 years ago) |
| Identification Number: | 000083762 |
| ZIP code: | 02857 |
| County: | Providence County |
| Principal Address: | P.O. BOX 428, SCITUATE, RI, 02857, USA |
| Purpose: | RENDERING PROFESSIONAL SERVICES AS PHYSICIANS. |
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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013173319 | 2008-08-06 | 2008-09-05 | 33 DANIELSON PIKE, NORTH SCITUATE, RI, 028571877, US | 33 DANIELSON PIKE, NORTH SCITUATE, RI, 028571877, US | |||||||||||||||||||||||||
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| Phone | +1 410-647-7411 |
| Fax | 4016472840 |
Authorized person
| Name | DR. KIM JAY CRAWFORD |
| Role | PRESIDENT |
| Phone | 4016477411 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | MD07139 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9020220 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| KIM J. CRAWFORD | PRESIDENT | P.O. BOX 428 SCITUATE, RI 02857 USA |
| Name | Role | Address |
|---|---|---|
| SCOTT T. SPEAR, ESQ. | Agent | BLISH & CAVANAGH 30 EXCHANGE TERRACE, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 202448474850 | Annual Report | 2024-03-12 |
| 202331295780 | Annual Report | 2023-03-15 |
| 202210969670 | Annual Report | 2022-02-14 |
| 202192074360 | Annual Report | 2021-02-18 |
| 202033621300 | Annual Report | 2020-02-03 |
| 201984578350 | Annual Report | 2019-01-16 |
| 201857310470 | Annual Report | 2018-01-29 |
| 201731175180 | Annual Report | 2017-01-30 |
| 201691160170 | Annual Report | 2016-01-22 |
| 201553823670 | Annual Report | 2015-01-16 |
Date of last update: 09 Apr 2025
Sources: Rhode Island Department of State
