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BROADWAY MEDICAL TREATMENT CENTER, LLC

Company Details

Name: BROADWAY MEDICAL TREATMENT CENTER, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 13 Aug 2003 (22 years ago)
Identification Number: 000134153
ZIP code: 02914
County: Providence County
Purpose: MEDICAL TREATMENT CENTER
Fictitious names: Broadway Medical Treatment Center (trading name, 2003-12-04 - )
Principal Address: Google Maps Logo 1053 SOUTH BROADWAY, EAST PROVIDENCE, RI, 02914, USA
Mailing Address: Google Maps Logo 50 PARK ROW WEST SUITE 107, PROVIDENCE, RI, 02903, USA

Industry & Business Activity

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

Agent

Name Role Address
STEPHEN J. DIGIANFILIPPO, ESQ. Agent 50 PARK ROW WEST SUITE 107 C/O VIEIRA & DIGIANFILIPPO LTD, PROVIDENCE, RI, 02903, USA

MANAGER

Name Role Address
PETER G. BRASSARD MD MANAGER 35 BLUFF ROAD BARRINGTON, RI 02806 USA

National Provider Identifier

NPI Number:
1104010032

Authorized Person:

Name:
DR. PETER GEORGE BRASSARD
Role:
PHYSICIAN / OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
4014387272

Filings

Number Name File Date
202452112890 Annual Report 2024-04-22
202452112700 Statement of Change of Registered/Resident Agent Office 2024-04-22
202329391090 Annual Report 2023-02-24
202214213580 Annual Report 2022-03-30
202103346940 Annual Report 2021-10-15

USAspending Awards / Financial Assistance

Date:
2020-06-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
11250.00
Total Face Value Of Loan:
11250.00

Paycheck Protection Program

Date Approved:
2020-06-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
11250
Current Approval Amount:
11250
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
11338.12

Date of last update: 21 May 2025

Sources: Rhode Island Department of State