| Name: | Ocean State Primary Care Center of East Providence, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 Dec 2017 (7 years ago) |
| Identification Number: | 001679339 |
| ZIP code: | 02914 |
| County: | Providence County |
| Place of Formation: | DELAWARE |
| Principal Address: | 450 VETERANS MEMORIAL PARKWAY SUITE 15B, EAST PROVIDENCE, RI, 02914, USA |
| Purpose: | PROVIDE PRIMARY CARE MEDICAL AND HEALTHCARE SERVICES AND OTHER ACTIVITIES ANCILLARY THERETO |
| NAICS: | 622110 - General Medical and Surgical Hospitals |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225543754 | 2017-12-06 | 2017-12-06 | 2130 MENDON RD STE 3-333, CUMBERLAND, RI, 028643844, US | 450 VETERANS MEMORIAL PKWY UNIT 15B, EAST PROVIDENCE, RI, 029145300, US | |||||||||||||||||||||
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| Phone | +1 401-353-1012 |
| Fax | 4013536362 |
| Phone | +1 401-434-3350 |
Authorized person
| Name | JENNIFER ZUBA |
| Role | GENERAL MANAGER |
| Phone | 4016262748 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363LA2200X - Adult Health 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 | PRES, SEC, TRES, DIR | 1 DIAMOND HILL ROAD BERKELEY HEIGHTS, NJ 07922 |
| Number | Name | File Date |
|---|---|---|
| 202453831970 | Annual Report | 2024-05-03 |
| 202334735120 | Annual Report | 2023-04-30 |
| 202105248260 | Statement of Change of Registered/Resident Agent | 2021-11-22 |
| 202105236500 | Annual Report | 2021-11-22 |
| 202193534700 | Annual Report | 2021-03-03 |
| 202035710930 | Annual Report | 2020-03-02 |
| 202035711180 | Statement of Change of Registered/Resident Agent | 2020-03-02 |
| 201986236320 | Annual Report | 2019-02-08 |
| 201878742850 | Annual Report | 2018-10-02 |
| 201875726510 | Revocation Notice For Failure to File An Annual Report | 2018-08-24 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
