| 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 HospitalsThis industry comprises establishments known and licensed as general medical and surgical hospitals primarily engaged in providing diagnostic and medical treatment (both surgical and nonsurgical) to inpatients with any of a wide variety of medical conditions. These establishments maintain inpatient beds and provide patients with food services that meet their nutritional requirements. These hospitals have an organized staff of physicians and other medical staff to provide patient care services. These establishments usually provide other services, such as outpatient services, anatomical pathology services, diagnostic X-ray services, clinical laboratory services, operating room services for a variety of procedures, and pharmacy services. Learn more at the U.S. Census Bureau
| 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
