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Keith L. Callahan MD, PC

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Company Details

Name: Keith L. Callahan MD, PC
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 31 Jul 2007 (18 years ago)
Identification Number: 000166773
ZIP code: 02886
City: Warwick
County: Kent County
Purpose: PRACTICE OF MEDICINE
Principal Address: Google Maps Logo 390 TOLL GATE ROAD SUITE 108, WARWICK, RI, 02886, 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
ANTONIO L. TRUBIANO Agent 490 WOODRUFF AVENUE, WAKEFIELD, RI, 02879, USA

PRESIDENT

Name Role Address
KEITH L CALLAHAN MD, PC PRESIDENT 11 TALL PINE DRIVE EAST GREENWICH, RI 02818 USA

National Provider Identifier

NPI Number:
1558556266

Authorized Person:

Name:
KEITH LEE CALLAHAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4019215679

Form 5500 Series

Employer Identification Number (EIN):
260387205
Plan Year:
2014
Number Of Participants:
3
Sponsor's telephone number:
Plan Administrator / Signatory:
KEITH CALLAHAN(Plan administrator)
Plan Year:
2013
Number Of Participants:
3
Sponsor's telephone number:
Plan Administrator / Signatory:
KEITH CALLAHAN(Plan administrator)
Plan Year:
2012
Number Of Participants:
3
Sponsor's telephone number:
Plan Administrator / Signatory:
KEITH L CALLAHAN MD PC(Plan administrator)
Plan Year:
2011
Number Of Participants:
3
Sponsor's telephone number:
Plan Administrator / Signatory:
KEITH L CALLAHAN MD PC(Plan administrator)
Plan Year:
2010
Number Of Participants:
3
Sponsor's telephone number:
Plan Administrator / Signatory:
KEITH L CALLAHAN MD PC(Plan administrator)

Filings

Number Name File Date
202450872110 Annual Report 2024-04-11
202335771550 Annual Report 2023-05-17
202215549840 Annual Report 2022-04-21
202191257250 Annual Report 2021-02-12
202191257520 Statement of Change of Registered/Resident Agent 2021-02-12

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
Filing Date:
2022-07-01
Action:
Continuation

Parties

Party Name:
Keith L. Callahan MD, PC
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
Filing Date:
2022-07-01
Action:
Continuation

Parties

Party Name:
Keith L. Callahan MD, PC
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
Filing Date:
2017-02-15

Parties

Party Name:
Keith L. Callahan MD, PC
Party Role:
Debtor(s)
Party Role:
Secured Parties

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Date of last update: 12 Jul 2025

Sources: Rhode Island Department of State