| 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 |
| NAICS: | 621399 - Offices of All Other Miscellaneous Health Practitioners |
| Fictitious names: |
Greenville Primary Care (trading name, 2016-05-13 - ) |
| 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 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
