| Name: | Androscoggin Valley Hospital, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 20 Jun 2024 (7 months ago) |
| Identification Number: | 001775510 |
| Principal Address: | 59 PAGE HILL ROAD, BERLIN, NH, 03570, USA |
| Purpose: | HEALTH CARE AND SOCIAL ASSISTANCE. GENERAL MEDICAL AND SURGICAL HOSPITALS |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL PETERSON | PRESIDENT | 59 PAGE HILL ROAD BERLIN, NH 03570 USA |
| Name | Role | Address |
|---|---|---|
| MATTHEW STREETER | CFO | 59 PAGE HILL ROAD BERLIN, NH 03570 USA |
| Name | Role | Address |
|---|---|---|
| DARRELL BODNAR | CHIEF INFORMATION OFFICER | 59 PAGE HILL ROAD BERLIN, NH 03570 USA |
| Name | Role | Address |
|---|---|---|
| JAMES PATRY | VICE PRESIDENT | 59 PAGE HILL ROAD BERLIN, NH 03570 USA |
| Number | Name | File Date |
|---|---|---|
| 202457000660 | Application for Certificate of Authority | 2024-06-20 |
Date of last update: 29 Oct 2024
Sources: Rhode Island Department of State
