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Roger Williams Medical Associates, Inc.

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Company Details

Name: Roger Williams Medical Associates, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 19 Aug 2005 (20 years ago)
Date of Dissolution: 18 Feb 2015 (10 years ago)
Date of Status Change: 18 Feb 2015 (10 years ago)
Identification Number: 000149974
ZIP code: 02908
City: Providence
County: Providence County
Purpose: TO ARRANGE FOR THE PROVISION OF MEDICAL CARE AND RELATED HEALTHCARE SERVICES IN THE COMMUNITIES SERVED BY ROGER WILLIAMS MEDICAL CENTER THROUGH ARRANGEMENTS WITH HEALTH CARE PROFESSIONALS
Principal Address: Google Maps Logo 825 CHALKSTONE AVENUE, PROVIDENCE, RI, 02908, USA

Agent

Name Role Address
JOYCE C. HACKLEY Agent 825 CHALKSTONE AVENUE, PROVIDENCE, RI, 02908, USA

PRESIDENT

Name Role Address
KENNETH H BELCHER PRESIDENT 825 CHALKSTONE AVENUE PROVIDENCE, RI 02908- USA

DIRECTOR

Name Role Address
MICHAEL E. CONKLIN, JR. DIRECTOR 200 HIGH SERVICE AVENUE NORTH PROVIDENCE, RI 02904 USA

National Provider Identifier

NPI Number:
1588940712

Authorized Person:

Name:
KENNETH BELCHER
Role:
PRESIDENT/CEO
Phone:

Taxonomy:

Selected Taxonomy:
207RH0003X - Hematology & Oncology Physician
Is Primary:
Yes

Contacts:

Fax:
4014566742

Filings

Number Name File Date
201555202400 Revocation Certificate For Failure to File the Annual Report for the Year 2015-02-18
201449651460 Revocation Notice For Failure to File An Annual Report 2014-11-06
201324917540 Annual Report 2013-06-24
201294308870 Annual Report 2012-06-26
201180858490 Annual Report 2011-06-30

Expenditures

Agency Date Program Subprogram Amount
Office of the General Treasurer 2024-04-26 CRIME VICTIM COMPENSATION PROGRAM Operations 237.07
Office of the General Treasurer 2024-03-22 CRIME VICTIM COMPENSATION PROGRAM Operations 1085.2

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Date of last update: 11 Jul 2025

Sources: Rhode Island Department of State