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  5. TBHC MEDICAL SERVICES, P.C.

TBHC MEDICAL SERVICES, P.C.

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Company Details

Name: TBHC MEDICAL SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Dec 1986 (39 years ago)
Entity Number: 1130607
ZIP code: 11201
County: Kings
Place of Formation: New York
Address: 121 DEKALB AVENUE, BROOKLYN, NY, United States, 11201
Principal Address: 121 DEKALB AVE, BROOKLYN, NY, United States, 11201

Contact Details

Phone +1 718-250-8621

Phone +1 718-250-8000

Phone +1 718-417-1456

Phone +1 718-455-9000

Phone +1 718-250-8866

Phone +1 718-858-6400

Phone +1 718-638-3060

Phone +1 718-694-6700

Phone +1 718-462-8100

Phone +1 718-636-7500

Phone +1 718-855-6200

Phone +1 718-940-5000

Phone +1 718-636-1000

Phone +1 718-848-9100

Phone +1 718-851-2323

Phone +1 718-467-7300

Phone +1 718-221-2600

Phone +1 718-599-6200

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
VASANTHA KONDAMUDI MD Chief Executive Officer 121 DEKALB AVE, BROOKLYN, NY, United States, 11201

DOS Process Agent

Name Role Address
THE CORPORATION C/O THE BROOKLYN HOSPITAL CENTER DOS Process Agent 121 DEKALB AVENUE, BROOKLYN, NY, United States, 11201

National Provider Identifier

NPI Number:
1851924294
Certification Date:
2020-02-26
Link:
View on NPI website

Authorized Person:

Name:
GLORIA CALDEN
Role:
DIRECTOR, MANAGED CARE
Phone:
7182506813

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 718-258-0681
Phone:
+1 718-940-5000
Fax:
7189405001

History

Start date End date Type Value
2005-02-23 2006-12-26 Address 12 BAKLEY TERRACE, W ORANGE, NJ, 07052, USA (Type of address: Chief Executive Officer)
2004-06-18 2007-07-10 Name TBHC FAMILY PRACTICE, P.C.
2002-12-05 2005-02-23 Address 121 DEKALB AVE, BROOKLYN, NY, 11201, USA (Type of address: Chief Executive Officer)
2001-01-17 2002-12-05 Address 121 DEKALB AVE, BROOKLYN, NY, 11201, USA (Type of address: Chief Executive Officer)
2000-08-28 2004-06-18 Name TBHC MEDICAL SERVICES, P.C.

Filings

Filing Number Date Filed Type Effective Date
150724002012 2015-07-24 BIENNIAL STATEMENT 2014-12-01
120726000281 2012-07-26 CERTIFICATE OF AMENDMENT 2012-07-26
070710000927 2007-07-10 CERTIFICATE OF AMENDMENT 2007-07-10
061226002130 2006-12-26 BIENNIAL STATEMENT 2006-12-01
050223002263 2005-02-23 BIENNIAL STATEMENT 2004-12-01

Tax Exempt

Employer Identification Number (EIN) :
11-2833590
In Care Of Name:
% JOHN WALSH
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2013-09
Deductibility:
Type of organization and use of contribution: A supporting organization, unspecified type. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Link:
Download file

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Related by officers

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Related by address

121 DEKALB AVENUE, BROOKLYN, NY, United States, 11201

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121 DEKALB AVE, BROOKLYN, NY, United States, 11201

BROOKLYN CALEDONIAN NEUROLOGY SERVICES, P.C. BROOKLYN HOSPITAL ECG MEDICAL SERVICES, P.C. TBHC ANESTHESIOLOGY SERVICES, P.C. TBHC EMERGENCY MEDICINE, P.C. PARKVENTURES, INC. CORPORATE HEALTH MANAGEMENT CENTER OF THE BROOKLYN HOSPITAL - CALEDONIAN HOSPITAL, INC. B/C FINANCIAL SERVICE CORPORATION SURGICAL SERVICES OF BROOKLYN, P.C. BROOKLYN FAMILY MEDICINE, P.C.

Date of last update: 16 Mar 2025

Sources: New York Secretary of State

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