| Name: | Memorial Hospital of Rhode Island Physicians, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 14 Dec 1999 (25 years ago) |
| Date of Dissolution: | 28 Jul 2014 (10 years ago) |
| Date of Status Change: | 28 Jul 2014 (10 years ago) |
| Identification Number: | 000109708 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 111 BREWSTER STREET, PAWTUCKET, RI, 02860, USA |
| Purpose: | TO ARRANGE FOR STAFFING TO HEALTH CLINICS. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972644599 | 2007-02-08 | 2013-03-01 | 5626 OBERLIN DR, SUITE 110, SAN DIEGO, CA, 921211705, US | 111 BREWSTER ST, PAWTUCKET, RI, 028604400, US | |||||||||||||||||||
|
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| Phone | +1 858-625-2990 |
| Phone | +1 401-729-2304 |
Authorized person
| Name | KENNY HEINE |
| Role | DIRECTOR OF OPERATIONS |
| Phone | 8586252990 |
Taxonomy
| Taxonomy Code | 332900000X - Non-Pharmacy Dispensing Site |
| License Number | MD08573 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CHRISTINE RODRIGUES | Agent | 111 BREWSTER STREET, PAWTUCKET, RI, 02860, USA |
| Name | Role | Address |
|---|---|---|
| EDWARD SCHOTTLAND | PRESIDENT | 111 BREWSTER STREET PAWTUCKET, RI 02860 USA |
| Name | Role | Address |
|---|---|---|
| EDWARD SCHOTTLAND | TREASURER | 111 BREWSTER STREET PAWTUCKET, RI 02860 USA |
| Name | Role | Address |
|---|---|---|
| THOMAS GOUGH | SECRETARY | 111 BREWSTER STREET PAWTUCKET, RI 02860 USA |
| Name | Role | Address |
|---|---|---|
| ALYSSA BOSS | DIRECTOR | 45 WILLARD AVENUE PROVIDENCE, RI 02905 USA |
| THOMAS GOUGH | DIRECTOR | 111 BREWSTER STREET PAWTUCKET, RI 02860 USA |
| EDWARD SCHOTTLAND | DIRECTOR | 111 BREWSTER STREET PAWTUCKET, RI 02860 USA |
| Number | Name | File Date |
|---|---|---|
| 201443276740 | Articles of Dissolution | 2014-07-28 |
| 201443276380 | Annual Report | 2014-07-28 |
| 201329454770 | Statement of Change of Registered/Resident Agent | 2013-10-15 |
| 201325334670 | Annual Report | 2013-06-28 |
| 201204507090 | Annual Report | 2012-12-07 |
| 201204506930 | Statement of Change of Registered/Resident Agent | 2012-12-07 |
| 201299355400 | Revocation Notice For Failure to File An Annual Report | 2012-10-15 |
| 201327566970 | Articles of Amendment | 2012-09-03 |
| 201186769330 | Statement of Change of Registered/Resident Agent | 2011-12-01 |
| 201186309400 | Annual Report - Amended | 2011-11-30 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
