INTEGRA COMMUNITY CARE NETWORK, LLC Managers, Officers and Committee Members Board of Managers Div. Name and Address PCP Specialist Class Term Vote I Azam, Munawar M. (MD) Adult Health Associates, Inc. 1351 South County Trail, Ste. 215 East Greenwich, RI 02818 Telephone: 401.886.9700 Email: PCP-community Provider 7.15.14 to 7.31.16 Yes I Furey, Christopher M. (MD) 215 Toll Gate Road, Ste. 104 Warwick, RI 02886 Telephone: 401.736.4570 Email: PCP-CNE employed Provider 7.15.14 to 7.31.16 Yes I Lancellotti, Guy (MD) Kent Surgical Associates, Inc. 227 Centerville Road Warwick, RI 02886 Telephone: 401.737.4828 Email: Specialist (Surgery) Provider 7.15.14 to 7.31.16 Yes I Rosenberg, Mark (MD) Family Health & Sports Medicine, LLC 725 Reservoir Avenue, Suite 102 Cranston, RI 02910 Telephone: 401.943.6910 Email: PCP-community Provider 7.15.14 to 7.31.16 Yes I Fanale, Jim (MD) 45 Willard Avenue Providence, RI 02905 Telephone: 401.___.____ Email: N/A Corporate 10.22.15 to 7.31.16 Yes II Mansourati, Fadi (MD) 966 Mineral Spring Avenue North Providence, RI 02904 Telephone: 401.475.4063 Email: PCP-community Provider 10.28.14 to 7.31.17 Yes II Diaz, Joseph A. (MD) Memorial Hospital of Rhode Island Department of Medicine 111 Brewster Street Pawtucket, RI 02860 Telephone: 401.729.3100 Email: PCP-CNE employed Provider 7.15.14 to 7.31.17 Yes
III Barratt, Paul F. (MD) 100 Kenyon Street Wakefield, RI 02879 Telephone: Email: __________ Provider 10.22.15 to 7.31.18 Yes N/A Noah Benedict Polaris Medical Management, Inc. 1150 New London Avenue Cranston, RI 02920 Telephone: 401.654.4000 x105 Email: N/A PCP Admin. N/A Yes N/A President and CEO, CNE (Dennis Keefe) 45 Willard Avenue Providence, RI 02905 Telephone: 401.453.7905 Email: N/A Ex Officio N/A No N/A Executive Director, Integra (Domenic Delmonico) 45 Willard Avenue Providence, RI 02905 Telephone: 401.274.1122 x.48120 Email: N/A Ex Officio N/A No N/A Chief Financial Officer, CNE (Joe Iannoni) 45 Willard Avenue Providence, RI 02905 Telephone: 401.274.1122 x.48131 Email: N/A Ex Officio N/A No N/A Chief Executive Officer, SCH (Lou Giancola) 100 Kenyon Street Wakefield, RI 02879 Telephone: Email: N/A Ex Officio N/A No N/A CNE COO (Sandy Coletta) 45 Willard Avenue Providence, RI 02905 Telephone: Email: N/A GUEST N/A No Officers Name and Address Office Term Dennis Keefe See above for address information Chairperson 7.15.2014 to 7.31.2016 Albert J. Puerini, MD See above for address information Vice-Chairperson and Chairperson-Elect First Term: 7.15.2014 to 7.31.2016 Current Term: 8.1.2015 to 7.31.2016 Chief Financial Officer, CNE (Joe Iannoni) See above for address information Treasurer N/A
II Eric Berthiaume, MD University Gastroenterology 1407 South County Trail, Bldg. 4, Ste. 410 East Greenwich, RI 02818 Telephone: 401.886.4040 Email: GI Provider 7.15.14 to 10.17.2014 Manager N/A Eric Berthiaume, MD See above for contact information GI N/A 7.15.14 to 10.17.2014 Secretary II Nevola, Chad P. (MD) 120 Dudley Street, Ste. 105 Providence, RI Telephone: 401.273.9555 Email: Provider 7.15.14 to 10.20.2014 Manager N/A Martin Papazian, MD, Governance Oversight and Nominating Committee N/A N/A 10.28.2014 to 3.4.2015 None N/A Sandra Coletta, Medical Management and Pharmacy Committee N/A N/A 10.28.2014 to 7.17.2015 None I Janett, Robert (MD) 45 Willard Avenue Providence, RI 02905 Telephone: 617.797.3257 Email: N/A Corporate 7.15.14 to 9.15.15 Manager