| Name: | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC NOT-FOR-PROFIT CORPORATION |
| Status: | Active |
| Date of registration: | 07 Mar 1961 (64 years ago) |
| Entity Number: | 135989 |
| ZIP code: | 11795 |
| County: | Suffolk |
| Place of Formation: | New York |
| Address: | 1000 MONTAUK HIGHWAY, WEST ISLIP, NY, United States, 11795 |
Contact Details
Phone +1 631-376-3000
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ELT9VGM7Z9P5 | 2024-10-16 | 1000 MONTAUK HWY, WEST ISLIP, NY, 11795, 4927, USA | GOOD SAMARITAN HOSPITAL MEDICAL CENTER, 1000 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, 4927, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | GOOD SAMARITAN UNIVERSITY HOSPITAL |
| Division Name | FOUNDATION |
| Congressional District | 02 |
| State/Country of Incorporation | NY, USA |
| Activation Date | 2023-10-18 |
| Initial Registration Date | 2005-11-21 |
| Entity Start Date | 1966-06-06 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | RUBEN DURAN |
| Address | 80 BAYLISS ROAD, MELVILLE, NY, 11747, USA |
| Title | ALTERNATE POC |
| Name | ROGER HEINS |
| Address | 1000 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | VICTORIA ARDITO |
| Address | 1000 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, USA |
| Title | ALTERNATE POC |
| Name | KELLY ALBANESE SCHERER |
| Address | 1000 MONTAUK HWY, WEST ISLIP, NY, 11795, USA |
| Past Performance | Information not Available |
|---|
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 47W85 | Obsolete | Non-Manufacturer | 2005-11-22 | 2024-03-03 | No data | 2024-10-16 | |||||||||||||||
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| POC | VICTORIA ARDITO |
| Phone | +1 631-376-4519 |
| Fax | +1 631-376-4107 |
| Address | 1000 MONTAUK HWY, WEST ISLIP, NY, 11795 4927, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| N/A: THE CORP. | Agent | 1000 MONTAUK HIGHWAY, WEST ILSIP, NY, 11795 |
| Name | Role | Address |
|---|---|---|
| THE CORPORATION | DOS Process Agent | 1000 MONTAUK HIGHWAY, WEST ISLIP, NY, United States, 11795 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 1997-10-24 | 2018-10-09 | Address | 1000 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, USA (Type of address: Service of Process) |
| 1997-05-06 | 1997-10-24 | Address | 1000 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, USA (Type of address: Service of Process) |
| 1993-06-24 | 1997-05-06 | Address | 1000 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, USA (Type of address: Service of Process) |
| 1982-09-13 | 1993-06-24 | Address | 1000 MONTAUK HIGHWAY, WEST ISLIP, NY, 11795, USA (Type of address: Service of Process) |
| 1980-03-10 | 1982-09-13 | Address | 1000 MONTAUK HGWY, WEST ISLIP, NY, 11795, USA (Type of address: Service of Process) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 181009000609 | 2018-10-09 | CERTIFICATE OF AMENDMENT | 2018-10-09 |
| 20050922013 | 2005-09-22 | ASSUMED NAME CORP INITIAL FILING | 2005-09-22 |
| 990917000537 | 1999-09-17 | CERTIFICATE OF AMENDMENT | 1999-09-17 |
| 971024000750 | 1997-10-24 | CERTIFICATE OF AMENDMENT | 1997-10-24 |
| 970506000834 | 1997-05-06 | CERTIFICATE OF AMENDMENT | 1997-05-06 |
| 930624000277 | 1993-06-24 | CERTIFICATE OF AMENDMENT | 1993-06-24 |
| C034851-8 | 1989-07-19 | CERTIFICATE OF AMENDMENT | 1989-07-19 |
| A902006-7 | 1982-09-13 | CERTIFICATE OF AMENDMENT | 1982-09-13 |
| A705407-5 | 1980-10-14 | CERTIFICATE OF AMENDMENT | 1980-10-14 |
| A651399-8 | 1980-03-10 | CERTIFICATE OF AMENDMENT | 1980-03-10 |
| USDOT Number | Carrier Operation | MCS-150 Form Date | MCS-150 Mileage | MCS-150 Year | Power Units | Drivers | Operation Classification | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3274277 | Intrastate Non-Hazmat | 2023-02-27 | 30000 | 2021 | 3 | 10 | Private(Property) | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total Number of Inspections for the measurement period (24 months) | 0 |
| Driver Fitness BASIC Serious Violation Indicator | No |
| Vehicle Maintenance BASIC Acute/Critical Indicator | No |
| Unsafe Driving BASIC Acute/Critical Indicator | No |
| Driver Fitness BASIC Roadside Performance measure value | 0 |
| Hours-of-Service (HOS) Compliance BASIC Roadside Performance measure value | 0 |
| Total Number of Driver Inspections for the measurment period | 0 |
| Vehicle Maintenance BASIC Roadside Performance measure value | 0 |
| Total Number of Vehicle Inspections for the measurement period | 0 |
| Controlled Substances and Alcohol BASIC Roadside Performance measure value | 0 |
| Unsafe Driving BASIC Roadside Performance Measure Value | 0 |
| Number of inspections with at least one Driver Fitness BASIC violation | 0 |
| Number of inspections with at least one Hours-of-Service BASIC violation | 0 |
| Total Number of Driver Inspections containing at least one Driver Out-of-Service Violation | 0 |
| Number of inspections with at least one Vehicle Maintenance BASIC violation | 0 |
| Total Number of Vehicle Inspections containing at least one Vehicle Out-of-Service violation | 0 |
| Number of inspections with at least one Controlled Substances and Alcohol BASIC violation | 0 |
| Number of inspections with at least one Unsafe Driving BASIC violation | 0 |
Date of last update: 18 Mar 2025
Sources: New York Secretary of State
