| Name: | OCEAN STATE URGENT CARE AT ST. JOSEPH HEALTH CENTER, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 08 Sep 2015 (9 years ago) |
| Identification Number: | 001445469 |
| Principal Address: | 1 DIAMOND HILL ROAD, BERKELEY HEIGHTS, NJ, 07922, 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 | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003284506 | 2015-09-14 | 2016-02-25 | 2130 MENDON RD, SUITE 3-333, CUMBERLAND, RI, 028643844, US | 21 PEACE ST, PROVIDENCE, RI, 029071510, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-235-7310 |
| Fax | 4012357314 |
| Phone | +1 301-314-3999 |
| Fax | 4018086294 |
Authorized person
| Name | FRANK D'ALESSANDRO |
| Role | PARTNER |
| Phone | 40133399595 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1003284506 |
| State | RI |
| 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 |
|---|---|---|
| 202453830090 | Annual Report | 2024-05-03 |
| 202334666460 | Annual Report | 2023-04-29 |
| 202215851880 | Annual Report | 2022-04-27 |
| 202104088100 | Annual Report | 2021-10-28 |
| 202104022500 | Statement of Change of Registered/Resident Agent | 2021-10-27 |
| 202075397760 | Annual Report | 2020-11-16 |
| 202032777710 | Statement of Change of Registered/Resident Agent | 2020-01-22 |
| 202032770720 | Annual Report | 2020-01-21 |
| 201879613690 | Annual Report | 2018-10-17 |
| 201752969700 | Annual Report | 2017-11-03 |
Date of last update: 24 Oct 2024
Sources: Rhode Island Department of State
