| Name: | Optum Medical Services, P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 28 Mar 2012 (13 years ago) |
| Identification Number: | 000789116 |
| Place of Formation: | NORTH CAROLINA |
| Principal Address: | 11000 OPTUM CIRCLE, EDEN PRAIRIE, MN, 55344, USA |
| Purpose: | PROVISION OF MEDICAL SERVICES |
| NAICS: | 621610 - Home Health Care Services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861881708 | 2015-01-15 | 2016-11-02 | 9800 HEALTH CARE LN, MINNETONKA, MN, 553434542, US | 475 KILVERT ST, SUITE 310, WARWICK, RI, 028861379, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 615-224-5440 |
| Fax | 8552496092 |
| Phone | +1 401-732-7172 |
Authorized person
| Name | DR. RONALD SHUMACHER |
| Role | PRESIDENT |
| Phone | 2406835331 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 104100000X - Social Worker |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 246RP1900X - Phlebotomy Technician |
| Is Primary | No |
| Taxonomy Code | 251J00000X - Nursing Care Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 364SA2200X - Adult Health Clinical Nurse Specialist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| PETER MARSHALL GILL | TREASURER | 11000 OPTUM CIRCLE EDEN PRAIRIE, MN 55344 USA |
| Name | Role | Address |
|---|---|---|
| DANIEL JAY FRIEDMAN | SECRETARY | 11000 OPTUM CIRCLE EDEN PRAIRIE, MN 55344 USA |
| Name | Role | Address |
|---|---|---|
| RONALD JO SHUMACHER M.D. | DIRECTOR, PRESIDENT | 11000 OPTUM CIRCLE EDEN PRAIRIE, MN 55344 USA |
| Name | Role | Address |
|---|---|---|
| HOLLY ELIZA STEINBRECHER | DIRECTOR | 11000 OPTUM CIRCLE EDEN PRAIRIE, MN 55344 USA |
| Number | Name | File Date |
|---|---|---|
| 202452596320 | Annual Report | 2024-04-25 |
| 202333958520 | Annual Report | 2023-04-25 |
| 202211883010 | Annual Report | 2022-03-01 |
| 202192116970 | Annual Report | 2021-02-19 |
| 202032617250 | Annual Report | 2020-01-20 |
| 201985312250 | Annual Report | 2019-01-28 |
| 201856550570 | Annual Report | 2018-01-22 |
| 201730928840 | Annual Report | 2017-01-27 |
| 201690983950 | Annual Report | 2016-01-20 |
| 201554666500 | Annual Report | 2015-02-05 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
