| Name: | Med - Script LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 24 Apr 2007 (18 years ago) |
| Date of Dissolution: | 21 Aug 2017 (7 years ago) |
| Date of Status Change: | 21 Aug 2017 (7 years ago) |
| Identification Number: | 000163430 |
| ZIP code: | 02891 |
| County: | Washington County |
| Principal Address: | 97 CROSS STREET, WESTERLY, RI, 02891, USA |
| Purpose: | BEHAVIORAL HEALTH SERVICES |
| NAICS: | 62 - Health Care and Social Assistance |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407070915 | 2007-04-13 | 2020-08-22 | 97 CROSS ST, WESTERLY, RI, 028912448, US | 97 CROSS ST, WESTERLY, RI, 028912448, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-596-8800 |
| Fax | 4015968802 |
Authorized person
| Name | MR. JOSEPH CHAMPLIN |
| Role | OWNER |
| Phone | 4015968800 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| License Number | RN14796 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOSEPH CHAMPLIN | Agent | 97 CROSS STREET, WESTERLY, RI, 02891, USA |
| Name | Role | Address |
|---|---|---|
| JOSEPH CHAMPLIN | Manager | 113 MIDDLE STREET RIVERSIDE, RI 02915- USA |
| Number | Name | File Date |
|---|---|---|
| 201748636780 | Articles of Dissolution | 2017-08-21 |
| 201743044490 | Annual Report | 2017-05-10 |
| 201739904700 | Revocation Notice For Failure to File An Annual Report | 2017-04-06 |
| 201579268820 | Annual Report | 2015-09-15 |
| 201444958230 | Annual Report | 2014-08-29 |
| 201326728180 | Annual Report | 2013-08-09 |
| 201296210540 | Annual Report | 2012-08-17 |
| 201183617300 | Annual Report | 2011-09-30 |
| 201067863070 | Annual Report | 2010-10-01 |
| 200951721490 | Annual Report | 2009-09-25 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
