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Pawtucket Primary Care LLC

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Company Details

Name: Pawtucket Primary Care LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 22 Jun 2023 (2 years ago)
Identification Number: 001759302
ZIP code: 02860
City: Pawtucket
County: Providence County
Purpose: PRIMARY CARE
Principal Address: Google Maps Logo 126 PROSPECT STREET, PAWTUCKET, RI, 02860, USA
Mailing Address: Google Maps Logo 126 PROSPECT ST STE 201, PAWTUCKET, RI, 02860, USA

Industry & Business Activity

NAICS

621498 All Other Outpatient Care Centers

This U.S. industry comprises establishments with medical staff primarily engaged in providing general or specialized outpatient care (except family planning centers, outpatient mental health and substance abuse centers, HMO medical centers, kidney dialysis centers, and freestanding ambulatory surgical and emergency centers). Centers or clinics of health practitioners with different degrees from more than one industry practicing within the same establishment (i.e., Doctor of Medicine and Doctor of Dental Medicine) are included in this industry. Learn more at the U.S. Census Bureau

Agent

Name Role Address
ANNE T VALEZ Agent 126 PROSPECT STREET, PAWTUCKET, RI, 02860, USA

National Provider Identifier

NPI Number:
1538845441
Certification Date:
2024-06-12

Authorized Person:

Name:
MRS. ANNE THERESE VALEZ
Role:
FNP-BC
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
4012625501

Filings

Number Name File Date
202446880220 Annual Report 2024-02-20
202338585730 Articles of Organization 2023-06-22
202563233950 Annual Report 2025-01-26

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Date of last update: 17 Jul 2025

Sources: Rhode Island Department of State