| Name: | American Well Medical Group CA P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 04 Dec 2023 (a year ago) |
| Date of Dissolution: | 17 Sep 2024 (7 months ago) |
| Date of Status Change: | 17 Sep 2024 (7 months ago) |
| Identification Number: | 001766134 |
| Place of Formation: | CALIFORNIA |
| Principal Address: | 75 STATE STREET 26TH FLOOR, BOSTON, MA, 02109, USA |
| Purpose: | TELEMEDICINE MEDICAL BILLING |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| CYNTHIA HORNER MD | PRESIDENT | 75 STATE STREET, 26TH FLOOR BOSTON, MA 02109 USA |
| Number | Name | File Date |
|---|---|---|
| 202459647430 | Revocation Certificate For Failure to File the Annual Report for the Year | 2024-09-17 |
| 202457375920 | Revocation Notice For Failure to File An Annual Report | 2024-06-25 |
| 202343183370 | Application for Certificate of Authority | 2023-12-04 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
