| Name: | PRIMARY MEDICAL CENTER AND WALK-IN, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 03 Oct 2013 (12 years ago) |
| Identification Number: | 000842515 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 684 WARREN AVENUE, EAST PROVIDENCE, RI, 02914, USA |
| Purpose: | MEDICAL CENTER |
| Fictitious names: |
Primary Walk-In Medical Center (trading name, 2015-12-11 - ) Primary Laser Skincare (trading name, 2015-12-11 - ) |
NAICS
621498 All Other Outpatient Care CentersThis U.S. industry comprises establishments with medical staff primarily engaged in providing general or specialized outpatient care (except family planning centers, outpatient mental health and substance abuse centers, HMO medical centers, kidney dialysis centers, and freestanding ambulatory surgical and emergency centers). Centers or clinics of health practitioners with different degrees from more than one industry practicing within the same establishment (i.e., Doctor of Medicine and Doctor of Dental Medicine) are included in this industry. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225444243 | 2014-07-10 | 2016-06-29 | 684 WARREN AVE, EAST PROVIDENCE, RI, 029141405, US | 684 WARREN AVE, EAST PROVIDENCE, RI, 029141405, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 401-434-0022 |
| Fax | 4014346111 |
Authorized person
| Name | CONSTANTINE VAFIDIS |
| Role | OWNER |
| Phone | 4014340022 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CONSTANTINE VAFIDIS | Agent | 684 WARREN AVENUE, EAST PROVIDENCE, RI, 02914, USA |
| Number | Name | File Date |
|---|---|---|
| 202445685880 | Annual Report | 2024-02-06 |
| 202333793950 | Annual Report | 2023-04-24 |
| 202221427220 | Annual Report | 2022-07-19 |
| 202219713490 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202207810220 | Annual Report | 2022-01-11 |
| 202106627460 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202069221280 | Annual Report | 2020-11-03 |
| 201924294050 | Annual Report | 2019-10-15 |
| 201878024820 | Annual Report | 2018-09-24 |
| 201752073920 | Annual Report | 2017-10-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8440058506 | 2021-03-09 | 0165 | PPS | 684 Warren Ave, East Providence, RI, 02914-1405 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date of last update: 18 Oct 2024
Sources: Rhode Island Department of State
