| Entity Name: | INTEGRATED PHYSICIANS COMMUNITY MEDICAL GROUP, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Non-Stock |
| Citizenship: | Domestic |
| Status: | Active |
| Date Formed: | 23 Jun 2017 (Companies founded in June 2017) |
| Business ALEI: | 1242922 |
| Annual report due: | 23 Jun 2025 |
| NAICS code: | 541990 - All Other Professional, Scientific, and Technical Services |
| Business address: | 116 Washington Avenue, NORTH HAVEN, CT, 06473, United States |
| Mailing address: | 116 Washington Avenue, 3rd Floor, NORTH HAVEN, CT, United States, 06473 |
| ZIP code: | 06473 (Companies in New Haven, 06473) |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| E-Mail: | jennifer.cammarano@priviahealth.com |
| Name | Role |
|---|---|
| COMMUNITY MEDICAL GROUP, INC. | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| JOSEPH L. QUARANTA MD | Officer | 116 Washington Avenue, 3RD FLOOR, NORTH HAVEN, CT, 06473, United States | 54 Hampton Close, Orange, CT, 06477-1933, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| AGNES CZIBULKA MD | Director | 116 Washington Avenue, 14TH FLOOR, NORTH HAVEN, CT, 06743, United States | 116 Washington Avenue, 3rd Floor, North Haven, CT, 06473, United States |
| PHILLIP DICKEY MD | Director | 116 Washington Avenue, 3rd FLOOR, NORTH HAVEN, CT, 06743, United States | 116 Washington Avenue, 3rd Floor, North Haven, CT, 06473, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012119173 | 2024-05-28 | No data | Annual Report | Annual Report | No data |
| BF-0011341095 | 2023-06-05 | No data | Annual Report | Annual Report | No data |
| BF-0010413702 | 2022-05-24 | No data | Annual Report | Annual Report | 2022 |
| BF-0009753995 | 2021-09-21 | No data | Annual Report | Annual Report | No data |
| 0006901233 | 2020-05-08 | No data | Annual Report | Annual Report | 2020 |
| 0006556926 | 2019-05-13 | No data | Annual Report | Annual Report | 2019 |
| 0006177452 | 2018-05-04 | No data | Annual Report | Annual Report | 2018 |
| 0005890726 | 2017-07-10 | 2017-07-10 | First Report | Organization and First Report | No data |
| 0005874039 | 2017-06-23 | 2017-06-23 | Business Formation | Certificate of Incorporation | No data |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
