| Name: | OCEAN STATE URGENT CARE CENTER OF WOONSOCKET, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 10 Jul 2014 (11 years ago) |
| Identification Number: | 000956966 |
| Principal Address: | 1 DIAMOND HILL ROAD, BERKELEY HEIGHTS, NJ, 07922, USA |
| Purpose: | MEDICAL CENTER |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073973574 | 2016-02-26 | 2016-02-26 | 25 JOHN A CUMMINGS WAY, 3RD FLOOR; SUITE 301, WOONSOCKET, RI, 028953244, US | 25 JOHN A CUMMINGS WAY, 3RD FLOOR; SUITE 301, WOONSOCKET, RI, 028953244, US | |||||||||||||||||||||||||||
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| Phone | +1 401-235-7310 |
| Fax | 4012357314 |
Authorized person
| Name | JEN ZUBA |
| Role | GENERAL MANAGER |
| Phone | 4012357310 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| 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 |
|---|---|---|
| 202453801180 | Annual Report | 2024-05-02 |
| 202334672560 | Annual Report | 2023-04-29 |
| 202215771430 | Annual Report | 2022-04-26 |
| 202104093960 | Annual Report | 2021-10-28 |
| 202103940850 | Statement of Change of Registered/Resident Agent | 2021-10-26 |
| 202075396060 | Annual Report | 2020-11-16 |
| 202032771240 | Annual Report | 2020-01-21 |
| 202032779570 | Statement of Change of Registered/Resident Agent | 2020-01-21 |
| 201877932360 | Annual Report | 2018-09-21 |
| 201752970940 | Annual Report | 2017-11-03 |
Date of last update: 19 Oct 2024
Sources: Rhode Island Department of State
