| Name: | Rhode Island Health Group PrimaCare, P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 09 May 2022 (3 years ago) |
| Date of Dissolution: | 17 Sep 2024 (5 months ago) |
| Date of Status Change: | 17 Sep 2024 (5 months ago) |
| Identification Number: | 001740242 |
| ZIP code: | 02896 |
| County: | Providence County |
| Principal Address: | 63 EDDIE DOWLING HIGHWAY SUITE 1, NORTH SMITHFIELD, RI, 02896, USA |
| Purpose: | MEDICAL PRACTICE |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174295406 | 2021-10-05 | 2022-03-07 | 63 EDDIE DOWLING HWY STE 1, NORTH SMITHFIELD, RI, 028967322, US | 63 EDDIE DOWLING HWY STE 1, NORTH SMITHFIELD, RI, 028967322, US | |||||||||||||||
|
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| Phone | +1 401-769-2222 |
| Fax | 4017694555 |
Authorized person
| Name | NASIR ALAM BHATTI |
| Role | MEDICAL DIRECTOR |
| Phone | 4015975353 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NASIR BHATTI, MD | Agent | 65 EDDIE DOWLING HIGHWAY, NORTH SMITHFIELD, RI, 02896, USA |
| Name | Role | Address |
|---|---|---|
| ROBERTO FELIZ MD | DIRECTOR | 63 EDDIE DOWLING HWY N. SMITHFIELD, RI 02896 USA |
| Number | Name | File Date |
|---|---|---|
| 202460802330 | Registered Office Not Maintained | 2024-10-24 |
| 202459605160 | Revocation Certificate For Failure to File the Annual Report for the Year | 2024-09-17 |
| 202457303770 | Revocation Notice For Failure to File An Annual Report | 2024-06-25 |
| 202342605620 | Annual Report - Amended | 2023-11-06 |
| 202340658240 | Annual Report | 2023-08-30 |
| 202338288640 | Revocation Notice For Failure to File An Annual Report | 2023-06-19 |
| 202217088950 | Articles of Incorporation | 2022-05-09 |
Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
