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CLAXTON-HEPBURN MEDICAL CENTER

Company Details

Name: CLAXTON-HEPBURN MEDICAL CENTER
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 25 Jan 1917 (108 years ago)
Entity Number: 14089
ZIP code: 13669
County: St. Lawrence
Place of Formation: New York
Address: 214 KING STREET, OGDENSBURG, NY, United States, 13669

Contact Details

Phone +1 315-713-5530

Phone +1 315-393-3600

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
CE9BS1TKEE85 2025-03-21 214 KING ST, OGDENSBURG, NY, 13669, 1142, USA 214 KING STREET, OGDENSBURG, NY, 13669, 1142, USA

Business Information

URL https://www.claxtonhepburn.org/
Congressional District 21
State/Country of Incorporation NY, USA
Activation Date 2024-03-25
Initial Registration Date 2006-08-15
Entity Start Date 1917-01-25
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name EMMA BEAUCHAMP
Role STAFF ACCOUNTANT
Address 214 KING ST, OGDENSBURG, NY, 13669, USA
Government Business
Title PRIMARY POC
Name EMMA BEAUCHAMP
Role STAFF ACCOUNTANT
Address 214 KING ST, OGDENSBURG, NY, 13669, USA
Title ALTERNATE POC
Name SHARON NAVARRA
Role ACCOUNTING MANAGER
Address FINANCE, 214 KING STREET, OGDENSBURG, NY, 13669, 1142, USA
Past Performance
Title ALTERNATE POC
Name SHARON NAVARRA
Role ACCOUNTING MANAGER
Address FINANCE, 214 KING STREET, OGDENSBURG, NY, 13669, 1142, USA

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
4HKW4 Obsolete Non-Manufacturer 2006-08-15 2024-03-25 No data 2025-03-21

Contact Information

POC EMMA BEAUCHAMP
Phone +1 315-323-5470
Fax +1 315-393-8421
Address 214 KING ST, OGDENSBURG, NY, 13669 1142, 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

Legal Entity Identifier

LEI number Registered As Jurisdiction Of Formation General Category Entity Status Entity created at
5493001X7KB1NCX8NT64 14089 US-NY GENERAL ACTIVE No data

Addresses

Legal 214 King Street, Ogdensburg, US-NY, US, 13669
Headquarters 214 King Street, Ogdensburg, US-NY, US, 13669

Registration details

Registration Date 2018-10-05
Last Update 2023-08-04
Status LAPSED
Next Renewal 2019-10-03
LEI Issuer 5493001KJTIIGC8Y1R12
Corroboration Level FULLY_CORROBORATED
Data Validated As 14089

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLAXTON HEPBURN MEDICAL CENTER SHORT TERM DISABILITY PLAN 2011 150559686 2012-07-31 CLAXTON HEPBURN MEDICAL CENTER 894
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1985-01-01
Business code 622000
Sponsor’s telephone number 3153938880
Plan sponsor’s mailing address 214 KING ST., OGDENSBURG, NY, 13669
Plan sponsor’s address 214 KING ST., OGDENSBURG, NY, 13669

Plan administrator’s name and address

Administrator’s EIN 150559686
Plan administrator’s name CLAXTON HEPBURN MEDICAL CENTER
Plan administrator’s address 214 KING ST., OGDENSBURG, NY, 13669
Administrator’s telephone number 3153938880

Number of participants as of the end of the plan year

Active participants 943

Signature of

Role Plan administrator
Date 2012-07-31
Name of individual signing LOUANN MCNALLY
Valid signature Filed with authorized/valid electronic signature
HOSPITAL PLAN 2010 150559686 2011-05-05 CLAXTON HEPBURN MEDICAL CENTER 576
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1974-01-01
Business code 622000
Sponsor’s telephone number 3153938880
Plan sponsor’s mailing address 214 KING ST, OGDENSBURG, NY, 13669
Plan sponsor’s address 214 KING ST., OGDENSBURG, NY, 13669

Plan administrator’s name and address

Administrator’s EIN 150559686
Plan administrator’s name CLAXTON HEPBURN MEDICAL CENTER
Plan administrator’s address 214 KING ST, OGDENSBURG, NY, 13669
Administrator’s telephone number 3153938880

Number of participants as of the end of the plan year

Active participants 567

Signature of

Role Plan administrator
Date 2011-05-05
Name of individual signing LOUANN MCNALLY
Valid signature Filed with authorized/valid electronic signature
CLAXTON HEPBURN MEDICAL CENTER SHORT TERM DISABILITY PLAN 2010 150559686 2011-05-05 CLAXTON HEPBURN MEDICAL CENTER 930
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1985-01-01
Business code 622000
Sponsor’s telephone number 3153938880
Plan sponsor’s mailing address 214 KING ST., OGDENSBURG, NY, 13669
Plan sponsor’s address 214 KING ST., OGDENSBURG, NY, 13669

Plan administrator’s name and address

Administrator’s EIN 150559686
Plan administrator’s name CLAXTON HEPBURN MEDICAL CENTER
Plan administrator’s address 214 KING ST., OGDENSBURG, NY, 13669
Administrator’s telephone number 3153938880

Number of participants as of the end of the plan year

Active participants 894

Signature of

Role Plan administrator
Date 2011-05-05
Name of individual signing LOUANN MCNALLY
Valid signature Filed with authorized/valid electronic signature
CLAXTON HEPBURN MEDICAL CENTER SHORT TERM DISABILITY PLAN 2009 150559686 2010-10-14 CLAXTON HEPBURN MEDICAL CENTER 998
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1985-01-01
Business code 622000
Sponsor’s telephone number 3153938880
Plan sponsor’s mailing address 214 KING ST., OGDENSBURG, NY, 13669
Plan sponsor’s address 214 KING ST., OGDENSBURG, NY, 13669

Plan administrator’s name and address

Administrator’s EIN 150559686
Plan administrator’s name CLAXTON HEPBURN MEDICAL CENTER
Plan administrator’s address 214 KING ST., OGDENSBURG, NY, 13669
Administrator’s telephone number 3153938880

Number of participants as of the end of the plan year

Active participants 930
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing JOHN ZIEGLER
Valid signature Filed with authorized/valid electronic signature
HOSPITAL PLAN 2009 150559686 2010-10-14 CLAXTON HEPBURN MEDICAL CENTER 618
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1974-01-01
Business code 622000
Sponsor’s telephone number 3153938880
Plan sponsor’s mailing address 214 KING ST., OGDENSBURG, NY, 13669
Plan sponsor’s address 214 KING ST., OGDENSBURG, NY, 13669

Plan administrator’s name and address

Administrator’s EIN 150559686
Plan administrator’s name CLAXTON HEPBURN MEDICAL CENTER
Plan administrator’s address 214 KING ST., OGDENSBURG, NY, 13669
Administrator’s telephone number 3153938880

Number of participants as of the end of the plan year

Active participants 576
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing JOHN ZIEGLER
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 214 KING STREET, OGDENSBURG, NY, United States, 13669

History

Start date End date Type Value
2002-09-06 2016-10-12 Address CHIEF EXECUTIVE OFFICER, 214 KING STREET, OGDENSBURG, NY, 13669, USA (Type of address: Service of Process)
2001-08-09 2002-09-06 Address 214 KING STREET, OGDENSBURG, NY, 13669, USA (Type of address: Service of Process)
2000-02-09 2001-08-09 Address CHIEF EXECUTIVE OFFICER, 214 KING STREET, OGDENSBURG, NY, 13669, USA (Type of address: Service of Process)
1995-11-01 2000-02-09 Address 214 KING STREET, CHIEF FINANCIAL OFFICER, OGDENSBURG, NY, 13669, USA (Type of address: Service of Process)
1995-11-01 2001-08-09 Name HEPBURN MEDICAL CENTER
1995-03-08 1995-11-01 Address 214 KING STREET, OGDENSBURG, NY, 13669, USA (Type of address: Service of Process)
1971-10-13 1995-03-08 Address KING ST., OGDENSBURG, NY, 13369, USA (Type of address: Service of Process)
1917-01-25 1995-11-01 Name A. BARTON HEPBURN HOSPITAL

Filings

Filing Number Date Filed Type Effective Date
161012000304 2016-10-12 CERTIFICATE OF AMENDMENT 2016-10-12
020906000713 2002-09-06 CERTIFICATE OF AMENDMENT 2002-09-06
010809000431 2001-08-09 CERTIFICATE OF AMENDMENT 2001-08-09
000209000317 2000-02-09 CERTIFICATE OF AMENDMENT 2000-02-09
951101000044 1995-11-01 CERTIFICATE OF AMENDMENT 1995-11-01
950308000525 1995-03-08 CERTIFICATE OF AMENDMENT 1995-03-08
921106000426 1992-11-06 CERTIFICATE OF AMENDMENT 1992-11-06
A831256-2 1982-01-11 ASSUMED NAME CORP INITIAL FILING 1982-01-11
938851-3 1971-10-13 CERTIFICATE OF AMENDMENT 1971-10-13
5EX-51 1950-11-29 CERTIFICATE OF AMENDMENT 1950-11-29

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
No data IDV VA528P0665 2010-08-01 No data No data
Unique Award Key CONT_IDV_VA528P0665_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Award Amounts

Obligated Amount 0.00
Potential Award Amount 0.00

Description

Title HEMODIALYSIS
NAICS Code 621492: KIDNEY DIALYSIS CENTERS
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient CLAXTON-HEPBURN MEDICAL CENTER
UEI CE9BS1TKEE85
Recipient Address UNITED STATES, 214 KING ST, OGDENSBURG, ST. LAWRENCE, NEW YORK, 136691142
DO AWARD VA528NC0009 2010-08-01 2011-02-28 2011-02-28
Unique Award Key CONT_AWD_VA528NC0009_3600_VA528P0665_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description

Title HEMODIALYSIS
NAICS Code 621492: KIDNEY DIALYSIS CENTERS
Product and Service Codes Q999: OTHER MEDICAL SERVICES

Recipient Details

Recipient CLAXTON-HEPBURN MEDICAL CENTER
UEI CE9BS1TKEE85
Legacy DUNS 071594261
Recipient Address UNITED STATES, 214 KING ST, OGDENSBURG, 136691142

Date of last update: 26 Jan 2025

Sources: New York Secretary of State