| Name: | Primary Care Medical Associates, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 25 Jan 2002 (23 years ago) |
| Identification Number: | 000122587 |
| ZIP code: | 02860 |
| County: | Providence County |
| Principal Address: | 109 BEECHWOOD AVE, PAWTUCKET, RI, 02860-5409, USA |
| Purpose: | TO OPERATE A MEDICAL OFFICE AND MEDICAL LABORATORY |
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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023212412 | 2007-06-12 | 2020-08-22 | 109 BEECHWOOD AVE, PAWTUCKET, RI, 028605409, US | 109 BEECHWOOD AVE, PAWTUCKET, RI, 028605409, US | |||||||||||||
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| Phone | +1 401-729-6151 |
Authorized person
| Name | MRS. IVONNE E CAM |
| Role | OFFICE MANAGER |
| Phone | 4017296151 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HECTOR R. OSHIRO, MD | Agent | 109 BEECHWOOD AVENUE, PAWTUCKET, RI, 02860, USA |
| Name | Role | Address |
|---|---|---|
| HECTOR R OSHIRO MD | PRESIDENT | 109 BEECHWOOD AVENUE PAWTUCKET, RI 02860- USA |
| HECTOR RAUL OSHIRO | PRESIDENT | 109 BEECHWOOD AVE PAWTUCKET, RI PAWTUCKET UNI |
| Name | Role | Address |
|---|---|---|
| HECTOR RI OSHIRO | OTHER OFFICER | 109 BEECHWOOD AVE PAWTUCKET, RI 02860-5409 USA |
| Number | Name | File Date |
|---|---|---|
| 202444736330 | Annual Report | 2024-01-25 |
| 202326606160 | Annual Report | 2023-01-31 |
| 202107118570 | Annual Report | 2021-12-15 |
| 202185388610 | Annual Report | 2021-01-08 |
| 201930571620 | Annual Report | 2019-12-23 |
| 201883273040 | Annual Report | 2018-12-27 |
| 201858848710 | Annual Report | 2018-02-23 |
| 201739238760 | Annual Report | 2017-03-30 |
| 201589041970 | Annual Report | 2015-12-11 |
| 201451358580 | Annual Report | 2014-12-17 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2710257210 | 2020-04-16 | 0165 | PPP | 109 BEECHWOOD AVENUE, PAWTUCKET, RI, 02860 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
