| 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)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
| 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 | |||||||||||||||
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| 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 |
| Name | Role | Address |
|---|---|---|
| JOHN C. BEAUCHAMP, MD | Agent | 9 YARMOUTH DRIVE, WESTERLY, RI, 02891, USA |
| Name | Role | Address |
|---|---|---|
| JOHN C. BEAUCHAMP | PRESIDENT | 9 YARMOUTH DRIVE WESTERLY, RI 02891 USA |
| 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: 09 Apr 2025
Sources: Rhode Island Department of State
