Name: | MILL RIVER PEDIATRICS, INC. |
Jurisdiction: | Rhode Island |
Entity type: | Domestic Profit Corporation |
Status: | Dissolved |
Date of Organization in Rhode Island: | 28 Apr 2000 (25 years ago) |
Date of Dissolution: | 26 May 2016 (9 years ago) |
Date of Status Change: | 26 May 2016 (9 years ago) |
Identification Number: | 000112186 |
ZIP code: | 02864 |
County: | Providence County |
Principal Address: | 2 ABBOTT RUN VALLEY ROAD, CUMBERLAND, RI, 02864, USA |
Purpose: | HEALTHCARE |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1659426161 | 2007-01-24 | 2020-08-22 | 126 PROSPECT ST, PAWTUCKET, RI, 028604429, US | 126 PROSPECT ST, PAWTUCKET, RI, 028604429, US | |||||||||||||||||||||||||
|
Phone | +1 401-728-9201 |
Fax | 4017234944 |
Authorized person
Name | DR. LAURA VIEHMANN |
Role | PHYSICIAN DIRECTOR |
Phone | 4017289201 |
Taxonomy
Taxonomy Code | 208000000X - Pediatrics Physician |
License Number | MD07737 |
State | RI |
Is Primary | Yes |
Other Provider Identifiers
Issuer | LICENCE NUMBER |
Number | MD07737 |
State | RI |
Name | Role | Address |
---|---|---|
J. RICHARD RATCLIFFE | Agent | 40 WESTMINSTER STREET SUITE 700, PROVIDENCE, RI, 02903, USA |
Name | Role | Address |
---|---|---|
LAURA RUTH VIEHMANN | PRESIDENT | 2 ABBOTTRUN VALLEY ROAD CUMBERLAND, RI 02864 USA |
Name | Role | Address |
---|---|---|
LAURA RUTH VIEHMANN | TREASURER | 2 ABBOTTRUN VALLEY ROAD CUMBERLAND, RI 02864 USA |
Name | Role | Address |
---|---|---|
LAURA RUTH VIEHMANN | SECRETARY | 2 ABBOTTRUN VALLEY ROADAD CUMBERLAND, RI 02864 USA |
Number | Name | File Date |
---|---|---|
201699420410 | Annual Report | 2016-05-26 |
201699421110 | Articles of Dissolution | 2016-05-26 |
201565548730 | Statement of Change of Registered/Resident Agent | 2015-07-20 |
201562471040 | Revocation Notice For Failure to Maintain a Registered Agent | 2015-06-04 |
201561454440 | Miscellaneous Filing (No Fee) | 2015-04-28 |
201554278550 | Annual Report | 2015-01-28 |
201437117790 | Annual Report | 2014-03-05 |
201311937940 | Annual Report | 2013-02-18 |
201290530860 | Annual Report | 2012-03-02 |
201177064860 | Annual Report | 2011-03-30 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State