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Wickford Family Practice LLC

Company Details

Name: Wickford Family Practice LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 29 Nov 2022 (3 years ago)
Identification Number: 001749189
ZIP code: 02852
County: Washington County
Purpose: SOLO PRACTICE PRIMARY CARE OFFICE RAN BY A NURSE PRACTITIONER.
Principal Address: Google Maps Logo 619 BOSTON NECK ROAD, NORTH KINGSTOWN, RI, 02852, USA
Mailing Address: Google Maps Logo 320 PHILLIPS STREETS SUITE 102, NORTH KINGSTOWN, RI, 02852, USA

Industry & Business Activity

NAICS

621399 Offices of All Other Miscellaneous Health Practitioners

This U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). 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

Agent

Name Role Address
MAXWELL HOGUE Agent 619 BOSTON NECK ROAD, NORTH KINGSTOWN, RI, 02852, USA

National Provider Identifier

NPI Number:
1710698667
Certification Date:
2023-02-01

Authorized Person:

Name:
MAXWELL HOGUE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
202452088140 Annual Report 2024-04-23
202333047170 Annual Report 2023-04-17
202224923170 Articles of Organization 2022-11-29
202564484180 Annual Report 2025-02-11

Date of last update: 15 May 2025

Sources: Rhode Island Department of State