| Name: | Rhode Island Medicine Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 18 Apr 2008 (17 years ago) |
| Identification Number: | 000331359 |
| ZIP code: | 02895 |
| County: | Providence County |
| Principal Address: | 68 CUMBERLAND STREET SUITE 205, WOONSOCKET, RI, 02895, USA |
| Purpose: | MEDICAL SERVICES |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578737615 | 2008-04-19 | 2019-01-15 | 68 CUMBERLAND ST STE 205, WOONSOCKET, RI, 028953331, US | 68 CUMBERLAND ST STE 205, WOONSOCKET, RI, 028953331, US | |||||||||||||
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| Phone | +1 401-765-4100 |
Authorized person
| Name | DR. IRFAN AHMAD |
| Role | DIRECTOR |
| Phone | 4012863324 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RHODE ISLAND MEDICINE, INC. 401(K) PLAN | 2023 | 262438891 | 2024-10-08 | RHODE ISLAND MEDICINE, INC | 12 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-08 |
| Name of individual signing | IRFAN AHMAD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2024-10-08 |
| Name of individual signing | IRFAN AHMAD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4017654100 |
| Plan sponsor’s address | 68 CUMBERLAND STREET, SUITE 205, WOONSOCKET, RI, 02895 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-07 |
| Name of individual signing | IRFAN AHMAD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-08-07 |
| Name of individual signing | IRFAN AHMAD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4017654100 |
| Plan sponsor’s address | 68 CUMBERLAND STREET, SUITE 205, WOONSOCKET, RI, 02895 |
Signature of
| Role | Plan administrator |
| Date | 2022-09-27 |
| Name of individual signing | IRFAN AHMAD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-09-27 |
| Name of individual signing | IRFAN AHMAD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4017654100 |
| Plan sponsor’s address | 68 CUMBERLAND STREET, SUITE 205, WOONSOCKET, RI, 02895 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-03 |
| Name of individual signing | IRFAN AHMAD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2021-06-03 |
| Name of individual signing | IRFAN AHMAD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| IRFAN AHMAD | Agent | 68 CUMBERLAND ST. STE 205, WOONSOCKET, RI, 02895, USA |
| Name | Role | Address |
|---|---|---|
| IRFAN AHMAD | PRESIDENT | 68 CUMBERLAND ST STE 205 WOONSOCKET, RI 02895 USA |
| Number | Name | File Date |
|---|---|---|
| 202446686390 | Annual Report | 2024-02-17 |
| 202328997860 | Annual Report | 2023-02-21 |
| 202209970300 | Annual Report | 2022-02-10 |
| 202195874840 | Annual Report | 2021-04-21 |
| 201930539080 | Annual Report | 2019-12-23 |
| 201985222630 | Annual Report | 2019-01-27 |
| 201881053950 | Statement of Change of Registered Office by the Registered Agent | 2018-11-12 |
| 201860313240 | Annual Report | 2018-03-15 |
| 201748203180 | Annual Report | 2017-08-04 |
| 201747818150 | Revocation Notice For Failure to File An Annual Report | 2017-07-27 |
Date of last update: 12 Oct 2024
Sources: Rhode Island Department of State
