| 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 (7 months ago) |
| Date of Status Change: | 17 Sep 2024 (7 months ago) |
| Identification Number: | 000099982 |
| ZIP code: | 02852 |
| County: | Washington County |
| Principal Address: | 7260 POST ROAD, NORTH KINGSTOWN, RI, 02852, USA |
| 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 - ) |
NAICS
621498 All Other Outpatient Care CentersThis 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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356938088 | 2020-12-29 | 2020-12-29 | 7260 POST RD STE 103, NORTH KINGSTOWN, RI, 028523246, US | 7260 POST RD STE 103, NORTH KINGSTOWN, RI, 028523246, US | |||||||||||||||
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| Phone | +1 401-294-8200 |
| Fax | 4012948222 |
Authorized person
| Name | LINDA K GLOOR |
| Role | ADMINISTRATOR |
| Phone | 4012948200 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MATTHEW F. CALLAGHAN, JR. | Agent | 3 BROWN STREET, WICKFORD, RI, 02852, USA |
| Name | Role | Address |
|---|---|---|
| JAMES D. GLOOR MD | TREASURER | 174 GIBSON AVENUE NARRAGANSETT, RI 02882 USA |
| Name | Role | Address |
|---|---|---|
| JAMES D. GLOOR MD | SECRETARY | 174 GIBSON AVENUE NARRAGANSETT, RI 02882 USA |
| Name | Role | Address |
|---|---|---|
| JAMES D GLOOR MD | PRESIDENT | 174 GIBSON AVENUE NARRAGANSETT, RI 02882 USA |
| 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 |
| 202220045100 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202199433980 | Annual Report | 2021-07-20 |
| 202196786430 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202067869970 | Annual Report | 2020-10-23 |
| 202055000350 | Revocation Notice For Failure to File An Annual Report | 2020-09-16 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8738457210 | 2020-04-28 | 0165 | PPP | 7260 POST RD, NORTH KINGSTOWN, RI, 02852-3238 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 09 Apr 2025
Sources: Rhode Island Department of State
