| Name: | OCEAN STATE PRIMARY CARE CENTER OF WESTERLY, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 10 Feb 2014 (11 years ago) |
| Identification Number: | 000901366 |
| ZIP code: | 02891 |
| County: | Washington County |
| Principal Address: | 77 FRANKLIN STREET, WESTERLY, RI, 02891, USA |
| Purpose: | HEALTHCARE SERVICES INCLUDING PRIMARY MEDICAL SERVICES |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265857007 | 2014-03-04 | 2014-05-20 | 77 FRANKLIN STREET, WESTERLY, RI, 02891, US | 77 FRANKLIN STREET, WESTERLY, RI, 02891, US | |||||||||||||||
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| Phone | +1 401-596-6464 |
| Fax | 4013488660 |
Authorized person
| Name | MR. JONATHAN HAMILTON MARTIN |
| Role | OWNER/PHYSICIAN |
| Phone | 4015966464 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| BRENT ASPLIN MD | MANAGER | 125 S. CLARK ST., STE 900 CHICAGO, IL 60603 USA |
| Number | Name | File Date |
|---|---|---|
| 202453831510 | Annual Report | 2024-05-03 |
| 202334664510 | Annual Report | 2023-04-29 |
| 202215851330 | Annual Report | 2022-04-27 |
| 202104087950 | Annual Report | 2021-10-28 |
| 202103933140 | Statement of Change of Registered/Resident Agent | 2021-10-26 |
| 202075398190 | Annual Report | 2020-11-16 |
| 202032773460 | Annual Report | 2020-01-21 |
| 202032774610 | Statement of Change of Registered/Resident Agent | 2020-01-21 |
| 201879608380 | Annual Report - Amended | 2018-10-17 |
| 201879529180 | Annual Report | 2018-10-16 |
Date of last update: 18 Oct 2024
Sources: Rhode Island Department of State
