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Valley Primary Care, Inc.

Company Details

Name: Valley Primary Care, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 17 Oct 2001 (23 years ago)
Date of Dissolution: 28 Aug 2013 (11 years ago)
Date of Status Change: 28 Aug 2013 (11 years ago)
Identification Number: 000120814
ZIP code: 02842
County: Newport County
Principal Address: 294 VALLEY ROAD, MIDDLETOWN, RI, 02842, USA
Purpose: TO ENGAGE IN THE GENERAL PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1104048396 2007-05-03 2008-06-19 294 VALLEY ROAD, MIDDLETOWN, RI, 02842, US 294 VALLEY ROAD, MIDDLETOWN, RI, 02842, US

Contacts

Phone +1 401-847-7772
Fax 4018464959

Authorized person

Name DR. PAUL V DEL GUERCIO
Role PHYSICIAN OWNER
Phone 4018477772

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number MD07423
State RI
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 9020091
State RI

Agent

Name Role Address
PAUL DELGUERCIO, MD Agent 294 VALLEY ROAD, MIDDLETOWN, RI, 02842, USA

PRESIDENT

Name Role Address
PAUL DELGUERCIO MD PRESIDENT 3 KAY STREET NEWPORT, RI 02840- USA

VICE PRESIDENT

Name Role Address
MARIANNE F DELGUERCIO VICE PRESIDENT 3 KAY STREET NEWPORT, RI 02840 USA

Filings

Number Name File Date
201327281080 Revocation Certificate For Failure to File the Annual Report for the Year 2013-08-28
201321883820 Revocation Notice For Failure to File An Annual Report 2013-06-03
201295441260 Annual Report 2012-07-30
201293093010 Revocation Notice For Failure to File An Annual Report 2012-05-23
201176201040 Annual Report 2011-03-05
201057946640 Annual Report 2010-02-04
200940660360 Annual Report 2009-01-22
200808359610 Annual Report 2008-03-19
200700675250 Annual Report 2007-09-19
200701503020 Revocation Notice For Failure to File An Annual Report 2007-08-09

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State