| 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 (7 months ago) |
| Date of Status Change: | 17 Sep 2024 (7 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)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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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
