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) |
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 | |||||||||||||||
|
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: 08 Oct 2024
Sources: Rhode Island Department of State