| Name: | Arches Rhode Island PC |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 24 Feb 2021 (4 years ago) |
| Identification Number: | 001719750 |
| ZIP code: | 02864 |
| County: | Providence County |
| Principal Address: | 106 NATE WHIPPLE HIGHWAY SUITE 101, CUMBERLAND, RI, 02864, USA |
| Purpose: | MEDICAL SERVICES |
| Fictitious names: |
VMD Primary Providers of Rhode Island PC (trading name, 2024-09-17 - ) Arches Medical (trading name, 2024-03-12 - ) |
| Historical names: |
VMD PRIMARY PROVIDERS OF RHODE ISLAND, PC |
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 | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548046402 | 2023-09-06 | 2023-09-06 | PO BOX 360293, PITTSBURGH, PA, 152516267, US | 2140 MENDON RD, CUMBERLAND, RI, 028643843, US | |||||||||||||||||
|
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| Phone | +1 678-553-4603 |
| Phone | +1 401-642-2072 |
| Fax | 4013053958 |
Authorized person
| Name | KRISTI I LEE |
| Role | DIRECTOR REV CYCLE |
| Phone | 9048442271 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| GREGORY ALLEN DO | MEDICAL DIRECTOR | 4300 POST ROAD EAST GREENWICH, RI 02828 USA |
| SCOTT WILSON MD | MEDICAL DIRECTOR | 106 NATE WHIPPLE HIGHWAY CUMBERLAND, RI 02864 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2024-03-01 | VMD PRIMARY PROVIDERS OF RHODE ISLAND, PC | Arches Rhode Island PC |
| Number | Name | File Date |
|---|---|---|
| 202460179540 | Fictitious Business Name Statement | 2024-09-17 |
| 202457543770 | Annual Report - Amended | 2024-07-02 |
| 202457541820 | Annual Report | 2024-07-02 |
| 202457281140 | Revocation Notice For Failure to File An Annual Report | 2024-06-25 |
| 202448388670 | Fictitious Business Name Statement | 2024-03-12 |
| 202447647750 | Statement of Change of Registered/Resident Agent | 2024-03-01 |
| 202447730470 | Articles of Amendment | 2024-03-01 |
| 202334860660 | Annual Report | 2023-05-01 |
| 202215700340 | Annual Report | 2022-04-26 |
| 202104390780 | Statement of Change of Registered/Resident Agent | 2021-11-01 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
