| Name: | SOUTH COUNTY ANESTHESIA ASSOCIATES, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 24 Jun 2014 (11 years ago) |
| Identification Number: | 000950845 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | P.O. BOX 230, WAKEFIELD, RI, 02880, USA |
| Mailing Address: | ONE RICHMOND SQUARE SUITE 165W, PROVIDENCE, RI, 02906, USA |
| Purpose: | ANESTHESIOLOGY |
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 | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790193522 | 2014-07-24 | 2016-05-13 | 1342 BELMONT ST, SUITE 205, BROCKTON, MA, 023014436, US | 100 KENYON AVE, WAKEFIELD, RI, 028794216, US | |||||||||||||||||||||
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| Phone | +1 508-580-1670 |
| Phone | +1 401-782-8000 |
| Fax | 4017893450 |
Authorized person
| Name | DR. JAMES FRANCIS GRIFFIN |
| Role | PRESIDENT |
| Phone | 4017880196 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JEFFREY F. CHASE-LUBITZ, ESQ. | Agent | ONE RICHMOND SQUARE SUITE 165W HUSCH BLACKWELL LLP, PROVIDENCE, RI, 02906, USA |
| Name | Role | Address |
|---|---|---|
| HENRY CABRERA M.D. | Manager | 3812 COMMODORE PERRY HIGHWAY WAKEFIELD, RI 02879 USA |
| ROBERT CHINN M.D. | Manager | 23 EGRET LANE WAKEFIELD, RI 02879 USA |
| NINA JI, M.D. | Manager | 87 BRAMBLE BUSH ROAD COVENTRY, RI 02816 USA |
| JOHN GRAHAM M.D. | Manager | 137 DOCKRAY STREET WAKEFIELD, RI 02879 USA |
| JAMES GRIFFIN DO | Manager | 169 POST ROAD WAKEFIELD, RI 02879 USA |
| ADAM A WRIGHT M.D. | Manager | 1 W. EXCHANGE STREET UNIT 2203 PROVIDENCE, RI 02903 USA |
| JARED BARLOW M.D. | Manager | 42 SUGARBUSH TRAIL SAUNDERSTOWN, RI 02874 USA |
| Number | Name | File Date |
|---|---|---|
| 202447153350 | Annual Report | 2024-02-23 |
| 202340024810 | Annual Report | 2023-07-31 |
| 202336893620 | Revocation Notice For Failure to File An Annual Report | 2023-06-16 |
| 202216747100 | Annual Report | 2022-05-03 |
| 202207880160 | Annual Report | 2022-01-12 |
| 202105830780 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202102679210 | Statement of Change of Registered/Resident Agent Office | 2021-10-05 |
| 202067921560 | Annual Report | 2020-10-23 |
| 201925236220 | Annual Report | 2019-10-25 |
| 201881539580 | Annual Report | 2018-11-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 8089747104 | 2020-04-15 | 0165 | PPP | 100 Kenyon Avenue, Wakefield, RI, 02879 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 19 Oct 2024
Sources: Rhode Island Department of State
