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SOUTH COUNTY PULMONARY MEDICINE, INC.

Company Details

Name: SOUTH COUNTY PULMONARY MEDICINE, INC.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Dissolved
Date of Organization in Rhode Island: 10 Feb 1997 (28 years ago)
Date of Dissolution: 21 Sep 2018 (7 years ago)
Date of Status Change: 21 Sep 2018 (7 years ago)
Identification Number: 000093514
ZIP code: 02882
County: Washington County
Purpose: PRACTICE OF PULMONARY MEDICINE.
Principal Address: Google Maps Logo 360 KINGSTOWN ROAD, NARRAGANSETT, RI, 02882, USA

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
RODERICK A.J. CAVANAGH Agent 148 MAIN STREET, WAKEFIELD, RI, 02879, USA

PRESIDENT

Name Role Address
ANNE M HEBERT MD PRESIDENT 360 KINGSTOWN ROAD NARRAGANSETT, RI 02882 USA

National Provider Identifier

NPI Number:
1225152085

Authorized Person:

Name:
DR. ANNE M HEBERT
Role:
PRESIDENT SOUTH COUNTY PULMONARY
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
Yes

Contacts:

Fax:
4017891355

Form 5500 Series

Employer Identification Number (EIN):
061478000
Plan Year:
2017
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
5
Sponsors Telephone Number:

Filings

Number Name File Date
201877947760 Articles of Dissolution 2018-09-21
201859297300 Annual Report 2018-02-26
201734829080 Annual Report 2017-02-23
201603227940 Annual Report 2016-08-03
201601412690 Revocation Notice For Failure to File An Annual Report 2016-07-07

Date of last update: 19 May 2025

Sources: Rhode Island Department of State