| Name: | COMPREHENSIVE OB/GYN CARE, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 18 Jul 2002 (23 years ago) |
| Date of Dissolution: | 28 Jan 2021 (4 years ago) |
| Date of Status Change: | 28 Jan 2021 (4 years ago) |
| Identification Number: | 000125925 |
| ZIP code: | 02910 |
| County: | Providence County |
| Principal Address: | 725 RESERVOIR AVENUE SUITE 203, CRANSTON, RI, 02910, USA |
| Purpose: | TO OPERATE A MEDICAL OFFICE |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093760498 | 2006-05-23 | 2011-06-10 | 725 RESERVOIR AVE, SUITE 203, CRANSTON, RI, 029104448, US | 725 RESERVOIR AVE, CRANSTON, RI, 029104448, US | |||||||||||||||||||||
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| Phone | +1 401-946-4022 |
| Fax | 4019464077 |
Authorized person
| Name | A. MICHAEL COPPA |
| Role | OWNER |
| Phone | 4019464022 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | C046405 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| A. MICHAEL COPPA, M.D. | Agent | 725 RESERVOIR AVENUE SUITE 203, CRANSTON, RI, 02910, USA |
| Name | Role | Address |
|---|---|---|
| A. MICHAEL COPPA MD | PRESIDENT | 725 RESERVOIR AVENUE, SUITE 203 CRANSTON, RI 02910 USA |
| Number | Name | File Date |
|---|---|---|
| 202188097050 | Articles of Dissolution | 2021-01-28 |
| 202032764800 | Annual Report | 2020-01-16 |
| 201986598310 | Annual Report | 2019-02-13 |
| 201856622790 | Annual Report | 2018-01-22 |
| 201734105300 | Annual Report | 2017-02-13 |
| 201691331480 | Annual Report | 2016-01-27 |
| 201553912860 | Annual Report | 2015-01-16 |
| 201433626980 | Annual Report | 2014-01-17 |
| 201310656220 | Annual Report | 2013-01-31 |
| 201290653640 | Annual Report | 2012-03-02 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
