| Name: | St. Joseph's Practitioner Independent Practice Association, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 27 Nov 1996 (28 years ago) |
| Date of Dissolution: | 09 Jun 2004 (21 years ago) |
| Date of Status Change: | 09 Jun 2004 (21 years ago) |
| Identification Number: | 000092419 |
| ZIP code: | 02904 |
| County: | Providence County |
| Principal Address: | 200 HIGH SERVICE AVE., NORTH PROVIDENCE, RI, 02904, USA |
| Purpose: | TO ARRANGE FOR THE DELIVERY OF HEALTH CARE SERVICES THROUGHCONTRACTS WITH PHYSICIANS. |
| Name | Role | Address |
|---|---|---|
| GERARD R. GOULET | Agent | 1500 FLEET CENTER, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| WILLIAM J DELIVEAU MD | PRESIDENT | 1526 ATWOOD AVENUE JOHNSTON, RI 02919 USA |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
