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A Wakefield Walk-In & Primary Care, LLC

Company Details

Name: A Wakefield Walk-In & Primary Care, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 15 Sep 2008 (16 years ago)
Date of Dissolution: 18 May 2016 (9 years ago)
Date of Status Change: 18 May 2016 (9 years ago)
Identification Number: 000485995
ZIP code: 02879
County: Washington County
Principal Address: 553 KINGSTOWN ROAD, WAKEFIELD, RI, 02879, USA
Purpose: TO ENGAGE IN ANY LAWFUL BUSINESS.
Fictitious names: Bald Hill Walk-In & Primary Care (trading name, 2012-02-16 - )
Bald Hill Walk-In (trading name, 2011-10-27 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962654426 2008-10-15 2013-01-24 553 KINGSTOWN RD, WAKEFIELD, RI, 028793600, US 553 KINGSTOWN RD, WAKEFIELD, RI, 028793600, US

Contacts

Phone +1 401-932-5526
Fax 4017891327

Authorized person

Name LLOYD B EDEN
Role OWNER
Phone 4012841515

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Filings

Number Name File Date
201699073300 Revocation Certificate For Failure to File the Annual Report for the Year 2016-05-18
201699073120 Agent Resigned 2016-05-16
201694279680 Revocation Notice For Failure to File An Annual Report 2016-03-14
201560642190 Annual Report 2015-04-13
201556245370 Revocation Notice For Failure to File An Annual Report 2015-03-04
201327663480 Annual Report 2013-09-04
201298127530 Annual Report 2012-09-17
201289730200 Fictitious Business Name Statement 2012-02-16
201184561990 Fictitious Business Name Statement 2011-10-27
201183342770 Annual Report 2011-09-22

Date of last update: 13 Oct 2024

Sources: Rhode Island Department of State