| Name: | Mark E. Clarke, NP, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 27 Apr 2016 (9 years ago) |
| Identification Number: | 001662802 |
| ZIP code: | 02828 |
| County: | Providence County |
| Principal Address: | 600 PUTNAM PIKE SUITE 8, GREENVILLE, RI, 02828, USA |
| Purpose: | PROVIDE HEALTH CARE SERVICES |
| Fictitious names: |
Greenville Primary Care (trading name, 2016-05-13 - ) |
NAICS
621399 Offices of All Other Miscellaneous Health PractitionersThis U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952756652 | 2016-04-30 | 2016-05-03 | 600 PUTNAM PIKE, SUITE 8, GREENVILLE, RI, 028281486, US | 600 PUTNAM PIKE, SUITE 8, GREENVILLE, RI, 028281486, US | |||||||||||||||||||
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| Phone | +1 401-349-4303 |
| Fax | 4013494373 |
Authorized person
| Name | PROF. MARK E CLARKE |
| Role | PRESIDENT |
| Phone | 4013494303 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | APRN00883 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARK E. CLARKE | Agent | 600 PUTNAM PIKE SUITE 8, GREENVILLE, RI, 02828, USA |
| Number | Name | File Date |
|---|---|---|
| 202445609110 | Annual Report | 2024-02-05 |
| 202327430070 | Annual Report | 2023-02-03 |
| 202218005640 | Annual Report | 2022-05-27 |
| 202218005460 | Statement of Change of Registered/Resident Agent | 2022-05-27 |
| 202101515870 | Annual Report | 2021-09-14 |
| 202073530060 | Annual Report | 2020-11-10 |
| 201918772980 | Annual Report | 2019-09-09 |
| 201881762050 | Annual Report | 2018-11-27 |
| 201750106170 | Annual Report | 2017-09-15 |
| 201698896270 | Fictitious Business Name Statement | 2016-05-13 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8781647301 | 2020-05-01 | 0165 | PPP | 600 PUTNAM PIKE SUITE 8, GREENVILLE, RI, 02828 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
