| Name: | plain street primarycare llc |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 02 Oct 2023 (a year ago) |
| Identification Number: | 001763737 |
| ZIP code: | 02905 |
| County: | Providence County |
| Principal Address: | 235 PLAIN STREET UNIT 304, PROVIDENCE, RI, 02905, USA |
| Mailing Address: | 27 BROOKWAY ROAD, PROVIDENCE, RI, 02908, USA |
| Purpose: | PHYSICIANS OFFICE |
| NAICS: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538936133 | 2023-12-05 | 2024-01-19 | 235 PLAIN ST STE 304, PROVIDENCE, RI, 029053241, US | 235 PLAIN ST STE 304, PROVIDENCE, RI, 029053241, US | |||||||||||||
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| Phone | +1 401-272-0127 |
Authorized person
| Name | SALMA KHAN |
| Role | MANAGER |
| Phone | 8662825040 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TIMOTHY J. MORGAN, ESQ. | Agent | 57 MAPLE AVE SUITE 201, BARRINGTON, RI, 02806, USA |
| Number | Name | File Date |
|---|---|---|
| 202446327130 | Annual Report | 2024-02-06 |
| 202343170190 | Statement of Change of Registered/Resident Agent | 2023-12-04 |
| 202341996800 | Articles of Organization | 2023-10-02 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
