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02852
J.D. GLOOR M.D., INC.

J.D. GLOOR M.D., INC.

Company Details

Name:	J.D. GLOOR M.D., INC.
Jurisdiction:	Rhode Island
Entity type:	Domestic Profit Corporation
Status:	Revoked Entity
Date of Organization in Rhode Island:	10 Apr 1998 (27 years ago)
Date of Dissolution:	17 Sep 2024 (9 months ago)
Date of Status Change:	17 Sep 2024 (9 months ago)
Identification Number:	000099982
ZIP code:	02852
County:	Washington County
Purpose:	TO ENGAGE IN THE PRACTICE OF MEDICINE INCLUDING BUT NOT LIMITED TO PRIMARY CARE MEDICINE EMERGENCY CARE AND INTERNAL MEDICINE
Fictitious names:	Valley Road Primary Care Walk-In (trading name, 1998-08-03 - ) Wickford Junction Medical Walk-In (trading name, 1998-08-03 - )
Principal Address:	7260 POST ROAD, NORTH KINGSTOWN, RI, 02852, USA

Industry & Business Activity

NAICS

621498 All Other Outpatient Care Centers

This U.S. industry comprises establishments with medical staff primarily engaged in providing general or specialized outpatient care (except family planning centers, outpatient mental health and substance abuse centers, HMO medical centers, kidney dialysis centers, and freestanding ambulatory surgical and emergency centers). Centers or clinics of health practitioners with different degrees from more than one industry practicing within the same establishment (i.e., Doctor of Medicine and Doctor of Dental Medicine) are included in this industry. Learn more at the U.S. Census Bureau

Agent

Name	Role	Address
MATTHEW F. CALLAGHAN, JR.	Agent	3 BROWN STREET, WICKFORD, RI, 02852, USA

TREASURER

Name	Role	Address
JAMES D. GLOOR MD	TREASURER	174 GIBSON AVENUE NARRAGANSETT, RI 02882 USA

SECRETARY

Name	Role	Address
JAMES D. GLOOR MD	SECRETARY	174 GIBSON AVENUE NARRAGANSETT, RI 02882 USA

PRESIDENT

Name	Role	Address
JAMES D GLOOR MD	PRESIDENT	174 GIBSON AVENUE NARRAGANSETT, RI 02882 USA

National Provider Identifier

NPI Number:

1356938088

Certification Date:

2020-12-29

Link:

View on NPI website

Authorized Person:

Name:

LINDA K GLOOR

Role:

ADMINISTRATOR

Phone:

4012948200

Taxonomy:

Selected Taxonomy:

208D00000X - General Practice Physician

Is Primary:

Yes

Contacts:

Phone:

+1 401-294-8200

Fax:

4012948222

Filings

Number	Name	File Date
202459532150	Revocation Certificate For Failure to File the Annual Report for the Year	2024-09-17
202457140410	Revocation Notice For Failure to File An Annual Report	2024-06-25
202339827280	Annual Report	2023-07-27
202338036070	Revocation Notice For Failure to File An Annual Report	2023-06-19
202222304250	Annual Report	2022-08-19

USAspending Awards / Financial Assistance

Date:

2020-04-28

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.

Obligated Amount:

0.00

Face Value Of Loan:

54805.00

Total Face Value Of Loan:

54805.00

Paycheck Protection Program

Date Approved:

2020-04-28

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Initial Approval Amount:

54805

Current Approval Amount:

54805

Race:

White

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

55436.78

Date of last update: 20 May 2025

Sources: Rhode Island Department of State