| 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 (4 months ago) |
| Date of Status Change: | 17 Sep 2024 (4 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 |
| NAICS: | 621498 - All Other Outpatient Care Centers |
| Fictitious names: |
Valley Road Primary Care Walk-In (trading name, 1998-08-03 - ) Wickford Junction Medical Walk-In (trading name, 1998-08-03 - ) |
| 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 | |||||||||||||||
|
|||||||||||||||||||
| 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 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
