Entity Summary
ID Number: 000028183    
Summary for:  The Providence Community Health Centers, Inc.
The exact name of the Domestic Non-Profit Corporation:   The Providence Community Health Centers, Inc.
The name was changed from: The Providence Community Health Centers on 03-07-2013
The name was changed from: The Providence Community Health Centers, Inc. on 12-01-2011
The name was changed from: Providence Ambulatory Health Care Foundation, Inc. on 12-09-1998
Merged with Chad Brown Health Center on 12-01-2011
Entity type:   Domestic Non-Profit Corporation
Identification Number: 000028183
Date of Incorporation in Rhode Island:   03-01-1976 Effective Date:   03-01-1976
The location of the Principal Office:
         
Address: 375 ALLENS AVENUE
City or Town, State, Zip, Country: PROVIDENCE,   RI   02905   USA
Agent Resigned:  N   Address Maintained:  Y  
The name and address of the Registered Agent:
         
Name: WILLIAM E. O'GARA, ESQ.
Address: 1301 ATWOOD AVENUE, SUITE 215N
City or Town, State, Zip, Country: JOHNSTON,   RI   02919   USA
The Officers and Directors of the Corporation:
TitleIndividual NameAddress
PRESIDENTMERRILL R THOMAS 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
VP AND CIOSTEPHEN O'HALLORAN 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
BOARD CHAIRMANMICHAEL CANCILLIERE 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
VP AND CHIEF OF STAFFSUSANA CONKLIN 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
VP AND CFOKEVIN CABRAL 375 ALLENS AVE PROVIDENCE, RI 02905 USA
VP AND CHIEF TRANSFORMATION OFFICERKIMBERLY O'CONNELL ESQ.375 ALLENS AFVENUE PROVIDENCE, RI 02905 USA
VP AND CHIEF HUMAN RESOURCE OFFICERCHERYL PERRY 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
BOARD - VICE CHAIRAMBER BICHUM 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
BOARD - SECRETARYMEGHAN HOPKINS ESQ375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
BOARD - TREASURERRAFAEL YEPEZ 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
VP AND CHIEF MEDICAL OFFICERNADINE HEWUDALIGE MD375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
DIRECTORCHRISTINA ZANFAGNA 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
DIRECTORRUSSELL CORCORAN MD375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
DIRECTORJOSEPH ESPAT MD375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
DIRECTORCASSANDRA FEENEY ESQ375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
DIRECTORBYRON MONGE 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
DIRECTORWENDY THOMAS 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
DIRECTORWILSON VILLAMAR 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
DIRECTORBENJAMIN MICCINELLO 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
DIRECTORPATRICIA HARMON 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
DIRECTORPATTI OSBORNE 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
DIRECTORDELIA RODRIGUEZ 375 ALLENS AVENUE PROVIDENCE, RI 02905 USA
Purpose:
North American Industry Classification System Code(NAICS):
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