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Coastal Medical Physicians, Inc.

Company Details

Name: Coastal Medical Physicians, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 07 Feb 2020 (5 years ago)
Identification Number: 001704570
ZIP code: 02903
County: Providence County
Principal Address: 10 DAVOL SQUARE, PROVIDENCE, RI, 02903, USA
Purpose: THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY FOR CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (THE CODE). THE CORPORATION IS FURTHER ORGANIZED TO PROVIDE ACCOUNTABLE PATIENT-CENTERED, HIGH QUALITY, EFFICIENT, VALUE BASED AND INNOVATIVE CARE TO SERVE THE HEALTH CARE NEEDS OF THE COMMUNITIES IN RHODE ISLAND AND ELSEWHERE, INCLUDING THOSE SERVED BY THE HOSPITALS AFFILIATED WITH LIFESPAN CORPORATION (LIFESPAN), AND TO PROMOTE AND ADVANCE MEDICAL RESEARCH, EDUCATION AND TRAINING IN MEDICINE, MEDICAL RELATED SCIENCES AND CLINICAL PRACTICE. IN ELABORATION OF SUCH MISSION, THE CORPORATION IS ESTABLISHED FOR THE BENEFIT OF AND TO SUPPORT THE TEACHING, RESEARCH AND PATIENT CARE MISSIONS OF RHODE ISLAND HOSPITAL (RIH), THE MIRIAM HOSPITAL (TMH), OTHER LIFESPAN AFFILIATED HOSPITALS, AND THE ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY. RIH, TMH, AND SUCH OTHER LIFESPAN AFFILIATED HOSPITALS ARE REFERRED TO COLLECTIVELY AS THE HOSPITALS. IN FURTHERANCE OF AND NOT IN LIMITATION OF THE FOREGOING PURPOSES, THE CORPORATION MAY ENGAGE IN ANY OTHER LAWFUL ACTIVITY THAT MAY BE CARRIED OUT BY A CORPORATION FORMED UNDER SECTION 7-6 OF THE GENERAL LAWS OF RHODE ISLAND, AS NOW WRITTEN OR HEREAFTER AMENDED, WHICH IS NOT INCONSISTENT WITH SECTION 501(C)(3) OF THE CODE, AND THE RULES AND REGULATIONS PROMULGATED THEREUNDER
Fictitious names: Brown Health Medical Group Primary Care (trading name, 2024-08-15 - )
Coastal Medical (trading name, 2021-06-25 - )

Industry & Business Activity

NAICS

622110 General Medical and Surgical Hospitals

This 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

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1245008937 2023-12-13 2024-09-18 10 DAVOL SQ STE 300, PROVIDENCE, RI, 029034754, US 10 DAVOL SQ STE 300, PROVIDENCE, RI, 029034754, US

Contacts

Phone +1 401-421-4000
Fax 4012721456

Authorized person

Name CHRISTINE RAWNSLEY
Role VP REVENUE CYCLE
Phone 4014446905

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary No
Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary No
Taxonomy Code 133V00000X - Registered Dietitian
Is Primary No
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
PAUL J. ADLER Agent 245 CHAPMAN STREET SUITE 200, PROVIDENCE, RI, 02905, USA

PRESIDENT

Name Role Address
EDWARD MCGOOKIN M.D. PRESIDENT 3 RIVER MEADOW DRIVE HOPE VALLEY , RI 02832 USA

DIRECTOR

Name Role Address
G. DEAN ROYE M.D. DIRECTOR 593 EDDY STREET PROVIDENCE, RI 02903 USA

Filings

Number Name File Date
202458849880 Fictitious Business Name Statement 2024-08-15
202449067060 Annual Report 2024-03-14
202334043540 Annual Report 2023-04-26
202213203410 Annual Report 2022-03-21
202199505010 Annual Report 2021-07-23
202198664060 Fictitious Business Name Statement 2021-06-25
202033928490 Articles of Incorporation 2020-02-07

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
84-4944884 Corporation Unconditional Exemption 10 DAVOL SQUARE SUITE 300, PROVIDENCE, RI, 02903-4754 2021-12
In Care of Name % MARY A WAKEFIELD
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-09
Asset 10,000,000 to 49,999,999
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Sep
Asset Amount 30503726
Income Amount 76336749
Form 990 Revenue Amount 76308215
National Taxonomy of Exempt Entities Health Care: Community Health Systems
Sort Name -

Publication 78 Data

Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letter

Final Letter(s) FinalLetter_84-4944884_COASTALMEDICALPHYSICIANSINC_04192021_00.tif

Copies of Returns (990, 990-EZ, 990-PF, 990-T)

Organization Name COASTAL MEDICAL PHYSICIANS INC
EIN 84-4944884
Tax Period 202209
Filing Type E
Return Type 990
File View File
Organization Name COASTAL MEDICAL PHYSICIANS INC
EIN 84-4944884
Tax Period 202109
Filing Type E
Return Type 990
File View File

Date of last update: 27 Oct 2024

Sources: Rhode Island Department of State