| Name: | Ocean State Urgent Care Center of North Providence, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 13 Apr 2017 (8 years ago) |
| Identification Number: | 001672799 |
| 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)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 | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205364544 | 2017-05-31 | 2017-06-08 | 2130 MENDON RD STE 3-333, CUMBERLAND, RI, 028643844, US | 1637 MINERAL SPRING AVE STE 115, NORTH PROVIDENCE, RI, 029044042, US | |||||||||||||||||||||||||||
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| Phone | +1 401-353-1012 |
| Fax | 4013536362 |
Authorized person
| Name | JEN ZUBA |
| Role | GENERAL MANAGER |
| Phone | 4012357310 |
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 | 363L00000X - 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 |
|---|---|---|
| 202453827720 | Annual Report | 2024-05-03 |
| 202334670890 | Annual Report | 2023-04-29 |
| 202215773380 | Annual Report | 2022-04-26 |
| 202104091100 | Annual Report | 2021-10-28 |
| 202103939070 | Statement of Change of Registered/Resident Agent | 2021-10-26 |
| 202075396510 | Annual Report | 2020-11-16 |
| 202032771790 | Annual Report | 2020-01-21 |
| 202032777440 | Statement of Change of Registered/Resident Agent | 2020-01-21 |
| 201879544020 | Annual Report | 2018-10-16 |
| 201740852430 | Articles of Organization | 2017-04-13 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
