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Mineral Spring Primary Care Associates, LLC

Company Details

Name: Mineral Spring Primary Care Associates, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 19 Mar 2003 (22 years ago)
Date of Dissolution: 27 Jun 2017 (8 years ago)
Date of Status Change: 27 Jun 2017 (8 years ago)
Identification Number: 000130658
ZIP code: 02904
County: Providence County
Purpose: PROVIDING PRIMARY MEDICAL CARE SERVICES TO PATIENTS
Principal Address: Google Maps Logo 1637 MINERAL SPRING AVENUE SUITE 111, NORTH PROVIDENCE, RI, 02904, USA

MANAGER

Name Role Address
MICHAEL ROCCHIO MD MANAGER 1637 MINERAL SPRING AVENUE NORTH PROVIDENCE, RI 02904 USA

Agent

Name Role Address
JOSEPH J RODIO SR Agent RODIO & URSILLO LTD 86 WEYBOSSET STREET SUITE 400, PROVIDENCE, RI, 02903, USA

National Provider Identifier

NPI Number:
1801848908

Authorized Person:

Name:
CATHY L POISSON
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4013535162

Filings

Number Name File Date
201746264840 Revocation Certificate For Failure to File the Annual Report for the Year 2017-06-27
201739817370 Revocation Notice For Failure to File An Annual Report 2017-04-06
201581545070 Annual Report 2015-10-05
201449016340 Annual Report 2014-10-29
201328065210 Annual Report 2013-09-11

Date of last update: 21 May 2025

Sources: Rhode Island Department of State