Entity Summary
ID Number: 000004253    
Summary for:  MIRIAM IPA, INC.
The exact name of the Domestic Non-Profit Corporation:   MIRIAM IPA, INC.
Merged into LIFESPAN PHYSICIANS IPA, INC. on 04-09-2013
Entity type:   Domestic Non-Profit Corporation
Identification Number: 000004253
Date of Incorporation in Rhode Island:   03-10-1987 Effective Date:   03-10-1987
Date of Merger:   04-09-2013  
The location of the Principal Office:
         
Address: 164 SUMMIT STREET
City or Town, State, Zip, Country: PROVIDENCE,   RI   02906   USA
Agent Resigned:  N   Address Maintained:  Y  
The name and address of the Registered Agent:
         
Name: STEPHEN D. ZUBIAGO, ESQ.
Address: NIXON PEABODY LLP ONE CITIZENS PLAZA
City or Town, State, Zip, Country: PROVIDENCE,   RI   02903   USA
The Officers and Directors of the Corporation:
TitleIndividual NameAddress
PRESIDENTROBERT BAHR MD150 EAST MANNING STREET PROVIDENCE, RI 02906 USA
DIRECTORJEAN SMITH MD909 NORTH MAIN STREET PROVIDENCE, RI 02904 USA
Purpose:
North American Industry Classification System Code(NAICS):
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