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SEASIDE INTERNAL MEDICINE, INC.

Company Details

Name: SEASIDE INTERNAL MEDICINE, INC.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Dissolved
Date of Organization in Rhode Island: 13 Jul 1998 (27 years ago)
Date of Dissolution: 04 Dec 2019 (5 years ago)
Date of Status Change: 04 Dec 2019 (5 years ago)
Identification Number: 000101495
ZIP code: 02891
County: Washington County
Principal Address: 85 BEACH STREET, WESTERLY, RI, 02891, USA
Purpose: ENGAGING IN THE PRACTICE OF MEDICINE.
NAICS: 621111 - Offices of Physicians (except Mental Health Specialists)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275797110 2008-07-10 2008-07-10 85 BEACH ST, 85 BEACH ST., WESTERLY, RI, 028912717, US 85 BEACH ST, 85 BEACH ST., WESTERLY, RI, 028912717, US

Contacts

Phone +1 401-596-0328
Fax 4013488629

Authorized person

Name JOHN C BEAUCHAMP
Role PRESIDENT
Phone 4015960328

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
JOHN C. BEAUCHAMP, MD Agent 9 YARMOUTH DRIVE, WESTERLY, RI, 02891, USA

PRESIDENT

Name Role Address
JOHN C. BEAUCHAMP PRESIDENT 9 YARMOUTH DRIVE WESTERLY, RI 02891 USA

Filings

Number Name File Date
201929360570 Articles of Dissolution 2019-12-04
201929368170 Annual Report 2019-12-04
201929368530 Statement of Change of Registered/Resident Agent Office 2019-12-04
201929369230 Annual Report 2019-12-04
201929367650 Reinstatement 2019-12-04
201863577450 Miscellaneous Filing (No Fee) 2018-04-25
201862275960 Revocation Certificate For Failure to Maintain a Registered Office 2018-04-17
201857299180 Miscellaneous Filing (No Fee) 2018-02-01
201856487100 Revocation Notice For Failure to Maintain a Registered Office 2018-01-22
201855849080 Registered Office Not Maintained 2017-12-21

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State