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Entity Summary

ID Number: 001667214

Summary for: SPECIALTY PHYSICIAN PARTNERS, INC.

The exact name of the Domestic Non-Profit Corporation: SPECIALTY PHYSICIAN PARTNERS, INC.

Entity type: Domestic Non-Profit Corporation

Identification Number: 001667214

Date of Incorporation in Rhode Island: 10-03-2016

Effective Date: 10-03-2016

Date of Revocation Certificate: 04-18-2018

The location of the Principal Office:

Address:
City or Town, State, Zip, Country:

Agent Resigned: N

Address Maintained: Y

The name and address of the Registered Agent:

Name:	STEPHEN ZUBIAGO, ESQ.
Address:	NIXON PEABODY LLP ONE CITIZENS PLAZA, SUITE 500
City or Town, State, Zip, Country:		PROVIDENCE, RI 02903 USA

The Officers and Directors of the Corporation:

Title

Individual Name

Address

INCORPORATOR

STEPHEN D. ZUBIAGO

NIXON PEABODY LLP, ONE CITIZENS PLAZA, STE. 500 PROVIDENCE, RI 02903 USA

DIRECTOR

PETER S. MARGOLIS M.D.

THE CORO BUILDING, 167 POINT ST., STE. 2B PROVIDENCE, RI 02903 USA

DIRECTOR

E. BRADLEY MILLER M.D.

THE CORO BUILDING, 167 POINT ST., STE. 2B PROVIDENCE, RI 02903 USA

DIRECTOR

ROBERT L. BAHR M.D.

THE CORO BUILDING, 167 POINT ST., STE. 2B PROVIDENCE, RI 02903 USA

Purpose:

TO SERVE AS A CORPORATE VEHICLE TO ENABLE PROVIDERS OF HEALTH CARE SERVICES AFFILIATED WITH LIFESPAN, A RHODE ISLAND HEALTH CARE SYSTEM, TO PARTICIPATE IN CONTRACTUAL ARRANGEMENTS, INCLUDING BUT NOT LIMITED TO, CAPITATION, FEE-FOR-SERVICE, INDEMNITY PLANS, GLOBAL RISK SHARING OR OTHER RISK SHARING ARRANGEMENTS, AND/OR JOINT VENTURES WITH HEALTH MAINTENANCE ORGANIZATIONS, PREFERRED PROVIDER GROUPS, MANAGED CARE PLANS, INDEMNITY PLANS, FEDERAL, STATE AND LOCAL ENTITIES, AND/OR OTHER THIRD PARTY PAYORS TO MAKE HEALTH CARE SERVICES AVAILABLE TO INDIVIDUALS RESIDING IN COMMUNITIES SERVED BY SUCH PROVIDERS.

North American Industry Classification System Code(NAICS):

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