| 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)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
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2449557310 | 2020-04-29 | 0165 | PPP | 68 CUMBERLAND ST., WOONSOCKET, RI, 02895 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 12 Oct 2024
Sources: Rhode Island Department of State
