| Name: | Snow Family Medicine, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 29 Oct 2018 (6 years ago) |
| Identification Number: | 001689561 |
| ZIP code: | 02921 |
| County: | Providence County |
| Principal Address: | 2200 PLAINFIELD PIKE, CRANSTON, RI, 02921, USA |
| Purpose: | PROVIDING A PRACTICE IN FAMILY MEDICINE. |
| NAICS: | 621399 - Offices of All Other Miscellaneous Health Practitioners |
| Historical names: |
PATIENTS FIRST COMPREHENSIVE CARE LIMITED LIABILITY COMPANY |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104396324 | 2018-11-30 | 2019-08-09 | 23 ARROWHEAD TRL, NORTH SCITUATE, RI, 028572846, US | 2220 PLAINFIELD PIKE, CRANSTON, RI, 029212031, US | |||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||
| Phone | +1 401-585-8500 |
| Fax | 4019422200 |
Authorized person
| Name | KRISTEN ANN SNOW |
| Role | PROVIDER |
| Phone | 4015858500 |
Taxonomy
| Taxonomy Code | 208000000X - Pediatrics Physician |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1568827517 |
| State | RI |
| Issuer | MEDICAID |
| Number | 1104396324 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ROBERT A. D'AMICO II, ESQ. | Agent | 536 ATWELLS AVENUE, PROVIDENCE, RI, 02909, USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2018-12-20 | PATIENTS FIRST COMPREHENSIVE CARE LIMITED LIABILITY COMPANY | Snow Family Medicine, LLC |
| Number | Name | File Date |
|---|---|---|
| 202447073270 | Annual Report | 2024-02-22 |
| 202336461540 | Annual Report | 2023-05-31 |
| 202210023840 | Annual Report | 2022-02-10 |
| 202102108530 | Annual Report | 2021-09-24 |
| 202072391400 | Annual Report | 2020-11-06 |
| 201918559040 | Annual Report | 2019-09-09 |
| 201983870220 | Articles of Amendment | 2019-01-07 |
| 201883072300 | Statement of Change of Registered/Resident Agent | 2018-12-21 |
| 201883014210 | Articles of Amendment | 2018-12-20 |
| 201880338490 | Articles of Organization | 2018-10-29 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
