| Name: | SOUTH COUNTY ORTHOPEDICS & PHYSICAL THERAPY, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 11 Jul 1995 (30 years ago) |
| Date of Dissolution: | 31 Dec 2021 (3 years ago) |
| Date of Status Change: | 31 Dec 2021 (3 years ago) |
| Identification Number: | 000085219 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | ONE HIGH STREET, WAKEFIELD, RI, 02879, USA |
| Purpose: | TO ENGAGE IN THE PRACTICE OF ORTHOPEDIC SURGERY AND PHYSICAL THERAPY. |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518921816 | 2006-04-13 | 2014-03-19 | 1 HIGH ST, WAKEFIELD, RI, 028793103, US | 1 HIGH ST, WAKEFIELD, RI, 028793103, US | |||||||||||||||||||||
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| Phone | +1 401-789-1422 |
| Fax | 4017826810 |
Authorized person
| Name | DR. ROBERT C MARCHAND |
| Role | OWNER |
| Phone | 4017891422 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9002536 |
| State | RI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTH COUNTY ORTHOPEDICS & PHYSICAL THERAPY, INC.401(K) PROFIT SHARING PLAN | 2012 | 050485441 | 2013-10-11 | SOUTH COUNTY ORTHOPEDICS & PHYSICAL THERAPY INC | 55 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-10-11 |
| Name of individual signing | DANIEL LABRADOR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1992-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4017891422 |
| Plan sponsor’s address | ONE HIGH STREET, WAKEFIELD, RI, 02879 |
Plan administrator’s name and address
| Administrator’s EIN | 050485441 |
| Plan administrator’s name | SOUTH COUNTY ORTHOPEDICS & PHYSICAL THERAPY INC |
| Plan administrator’s address | ONE HIGH STREET, WAKEFIELD, RI, 02879 |
| Administrator’s telephone number | 4017891422 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-27 |
| Name of individual signing | PATRICIA MCGOWAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1992-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4017891422 |
| Plan sponsor’s address | ONE HIGH STREET, WAKEFIELD, RI, 02879 |
Plan administrator’s name and address
| Administrator’s EIN | 050485441 |
| Plan administrator’s name | SOUTH COUNTY ORTHOPEDICS & PHYSICAL THERAPY INC |
| Plan administrator’s address | ONE HIGH STREET, WAKEFIELD, RI, 02879 |
| Administrator’s telephone number | 4017891422 |
Signature of
| Role | Plan administrator |
| Date | 2011-04-14 |
| Name of individual signing | PATRICIA MCGOWAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| ROBERT C. MARCHAND, M.D. | PRESIDENT | ONE HIGH STREET WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 202106881330 | Articles of Dissolution | 2021-12-06 |
| 202193817290 | Annual Report | 2021-03-09 |
| 202036030550 | Annual Report | 2020-03-09 |
| 201988606400 | Annual Report | 2019-03-13 |
| 201988332020 | Statement of Change of Registered/Resident Agent | 2019-03-08 |
| 201861166610 | Annual Report | 2018-03-29 |
| 201738192630 | Annual Report | 2017-03-17 |
| 201693541670 | Annual Report | 2016-03-01 |
| 201556140440 | Annual Report | 2015-03-02 |
| 201438393120 | Annual Report | 2014-04-23 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
