| Name: | Faine SC, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 14 May 2003 (22 years ago) |
| Date of Dissolution: | 23 Dec 2009 (15 years ago) |
| Date of Status Change: | 23 Dec 2009 (15 years ago) |
| Identification Number: | 000132010 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 400 BALD HILL ROAD, WARWICK, RI, 02886, USA |
| Purpose: | TO ESTABLISH A FREE-STANDING AMBULATORY SURGICAL CENTER IN WHICH PODIATRIC SERVICES WILL BE PROVIDED, BUT EXPRESSLY EXCLUDING THE PRACTICE OF MEDICINE OR THE RENDERING OF PROFESSIONAL SERVICES |
| Fictitious names: |
Kent County Surgical Center (trading name, 2003-05-28 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821055567 | 2006-04-27 | 2020-08-22 | 400 BALD HILL ROAD, SUITE 503, WARWICK, RI, 02886, US | 400 BALD HILL ROAD, SUITE 503, WARWICK, RI, 02886, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 401-738-7750 |
| Fax | 4017389750 |
Authorized person
| Name | BRUCE R WERBER |
| Role | PRESIDENT |
| Phone | 4017387750 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | FAS01013 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BS OF RI |
| Number | 57219 |
| State | RI |
| Issuer | BCHIP |
| Number | 411638 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| BRUCE A. WOLPERT, ESQ. | Agent | 10 DORRANCE STREET SUITE 530, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| ROBERT E GALLUCCI DPM | PRESIDENT | 400 BALD HILL ROAD WARWICK, RI 02886 USA |
| Number | Name | File Date |
|---|---|---|
| 200955614130 | Articles of Dissolution | 2009-12-23 |
| 200940827330 | Annual Report | 2009-01-22 |
| 200806226950 | Annual Report | 2008-01-22 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
