| Name: | EMERGENCY MEDICINE PHYSICIANS OF WASHINGTON COUNTY, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 16 May 2013 (12 years ago) |
| Date of Dissolution: | 11 May 2023 (2 years ago) |
| Date of Status Change: | 11 May 2023 (2 years ago) |
| Identification Number: | 000799087 |
| Principal Address: | 4535 DRESSLER ROAD NW, CANTON, OH, 44718, USA |
| Purpose: | PROVIDE EMERGENCY MEDICINE SERVICES AND ALL LAWFULLY RELATED 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 | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821434580 | 2013-05-21 | 2013-06-06 | 4535 DRESSLER RD NW, CANTON, OH, 447182545, US | 25 WELLS ST, WESTERLY, RI, 028912922, US | |||||||||||||||||||||||
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| Phone | +1 330-493-4443 |
| Fax | 3304938677 |
| Phone | +1 401-348-3506 |
| Fax | 4013483740 |
Authorized person
| Name | DAVID C PACKO |
| Role | PRESIDENT |
| Phone | 3304934443 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207PE0004X - Emergency Medical Services (Emergency Medicine) Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| DOMINIC J BAGNOLI JR | Manager | 4535 DRESSLER ROAD NW CANTON, OH 44718 USA |
| Number | Name | File Date |
|---|---|---|
| 202335563560 | Articles of Dissolution | 2023-05-11 |
| 202327046370 | Annual Report | 2023-02-01 |
| 202220387840 | Annual Report | 2022-06-28 |
| 202219021090 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202103086080 | Annual Report | 2021-10-13 |
| 202067521210 | Annual Report | 2020-10-22 |
| 201925912610 | Annual Report | 2019-10-29 |
| 201878318550 | Annual Report | 2018-09-27 |
| 201750529780 | Annual Report | 2017-09-27 |
| 201608497780 | Annual Report | 2016-09-07 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
