| Name: | NES Rhode Island, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 08 Jan 2004 (21 years ago) |
| Identification Number: | 000137116 |
| Principal Address: | 39 MAIN STREET, TIBURON, CA, 94920, USA |
| Purpose: | TO CONTRACT WITH HOSPITALS AND OTHER HEALTHCARE PROVIDERS FOR THE PROVISION OF DOCTORS AND PERSONNEL FOR EMERGENCY ROOMS AND OTHER DEPARTMENTS OF SAID PROVIDERS |
| NAICS: | 541611 - Administrative Management and General Management Consulting Services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730160151 | 2005-11-11 | 2011-04-12 | PO BOX 198928, ATLANTA, GA, 303848928, US | 200 HIGH SERVICE AVE, OUR LADY OF FATIMA HOSPITAL, NORTH PROVIDENCE, RI, 029045113, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 800-377-8721 |
| Fax | 3046971155 |
| Phone | +1 401-456-3000 |
| Fax | 4014563402 |
Authorized person
| Name | SERGE MARTIAL |
| Role | DIRECTOR |
| Phone | 8003778721 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9003682 |
| State | RI |
| Issuer | RAILROAD MEDICARE |
| Number | DC3452 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| JOSE AGUIRRE | PRESIDENT | 39 MAIN STREET TIBURON, CA 94920 USA |
| Name | Role | Address |
|---|---|---|
| MATTHEW TETER | SECRETARY | 39 MAIN STREET TIBURON, CA 94920 USA |
| Name | Role | Address |
|---|---|---|
| JOSE AGUIRRE | CEO | 39 MAIN STREET TIBURON, CA 94920 USA |
| Name | Role | Address |
|---|---|---|
| STEVEN WEXLER | DIRECTOR | 39 MAIN STREET TIBURON, CA 94920 USA |
| Number | Name | File Date |
|---|---|---|
| 202447416310 | Annual Report | 2024-02-27 |
| 202328064850 | Annual Report | 2023-02-09 |
| 202208547170 | Annual Report | 2022-01-24 |
| 202184802900 | Annual Report | 2021-01-06 |
| 202033358080 | Annual Report | 2020-01-29 |
| 201988228800 | Annual Report | 2019-03-06 |
| 201859105830 | Annual Report | 2018-02-26 |
| 201734476680 | Annual Report | 2017-02-21 |
| 201692726410 | Annual Report | 2016-02-19 |
| 201555274290 | Annual Report | 2015-02-18 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
