| 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)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 | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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: 10 Apr 2025
Sources: Rhode Island Department of State
