| 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 |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| 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 |
| 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
