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  5. CLAXTON-HEPBURN MEDICAL CENTER

CLAXTON-HEPBURN MEDICAL CENTER

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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 (109 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 +1 315-393-3600

Phone +1 315-713-5530

DOS Process Agent

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

Unique Entity ID

Unique Entity ID:
CE9BS1TKEE85
CAGE Code:
4HKW4
UEI Expiration Date:
2026-02-19

Business Information

URL:
https://www.claxtonhepburn.org/
Activation Date:
2025-02-21
Initial Registration Date:
2006-08-15

Commercial and government entity program

CAGE number:
4HKW4
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-02-21
SAM Expiration:
2026-02-19

Contact Information

POC:
EMILY GAZDA
Corporate URL:
https://www.claxtonhepburn.org/

National Provider Identifier

NPI Number:
1457082000
Certification Date:
2022-06-23
Link:
View on NPI website

Authorized Person:

Name:
RICHARD DUVALL
Role:
CEO
Phone:
3157135237

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Phone:
+1 315-393-3600

Legal Entity Identifier

LEI Number:
5493001X7KB1NCX8NT64

Registration Details:

Initial Registration Date:
2018-10-05
Next Renewal Date:
2019-10-03
Registration Status:
LAPSED
Validation Source:
FULLY_CORROBORATED

Form 5500 Series

Employer Identification Number (EIN):
150559686
Plan Year:
2011
Number Of Participants:
894
Sponsors Telephone Number:
3153938880
File:
View File
Plan Year:
2010
Number Of Participants:
576
Sponsors Telephone Number:
3153938880
File:
View File
Plan Year:
2010
Number Of Participants:
930
Sponsors Telephone Number:
3153938880
File:
View File
Plan Year:
2009
Number Of Participants:
998
Sponsors Telephone Number:
3153938880
File:
View File
Plan Year:
2009
Number Of Participants:
618
Sponsors Telephone Number:
3153938880
File:
View File

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

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

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA528P0665
Link:
View Award on USAspending website
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2010-08-01
Description:
HEMODIALYSIS
Naics Code:
621492: KIDNEY DIALYSIS CENTERS
Product Or Service Code:
Q999: OTHER MEDICAL SERVICES
Procurement Instrument Identifier:
VA528NC0009
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
23496.00
Base And Exercised Options Value:
23496.00
Base And All Options Value:
23496.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2010-08-01
Description:
HEMODIALYSIS
Naics Code:
621492: KIDNEY DIALYSIS CENTERS
Product Or Service Code:
Q999: OTHER MEDICAL SERVICES

USAspending Awards / Financial Assistance

Date:
2022-06-16
Link:
View on USAspending
Awarding Agency Name:
Department of Agriculture
Transaction Description:
ARP ECONOMIC DEVELOPMENT GRANT FOR RURAL HEALTH CARE FACILITIES
Obligated Amount:
857067.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2022-01-19
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
AWARDTYPE: DIRECT LOANS ACTIVITIES TO BE PERFORMED: PROVIDE LOANS TO BUSINESSES IMPACTED BY THE COVID-19 PANDEMIC FOR UNINSURED OR OTHERWISE UNCOMPENSATED ECONOMIC INJURY. DELIVERABLES: LOANS EXPECTED OUTCOMES: EXPECTED OUTCOMES: ENABLE BUSINESSES TO FUND POST-DISASTER ORDINARY AND NECESSARY OPERATING EXPENSES UNTIL NORMAL OPERATIONS RESUME INTENDED BENEFICIARIES: SURVIVORS OF DISASTER SUBRECIPIENT ACTIVITIES: NA
Obligated Amount:
0.00
Face Value Of Loan:
2000000.00
Total Face Value Of Loan:
2000000.00
Date:
2021-07-21
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM
Obligated Amount:
166768.04
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-04-23
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
9355852.00
Total Face Value Of Loan:
9355852.00
Date:
2011-08-18
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
AFFORDABLE CARE ACT- HEALTH CENTER PLANNING GRANTS
Obligated Amount:
80000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

OSHA's Inspections within Industry

Inspection Summary

Date:
2022-01-26
Type:
Complaint
Address:
214 KING STREET, OGDENSBURG, NY, 13669
Safety Health:
Health
Scope:
Complete

Tax Exempt

Employer Identification Number (EIN) :
15-0559686
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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:
1955-01
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
500
Initial Approval Amount:
$9,355,852
Date Approved:
2021-04-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$9,355,852
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$9,442,233.43
Servicing Lender:
New York Business Development Corporation
Use of Proceeds:
Payroll: $9,355,852

Court Cases

Court Case Summary

Filing Date:
2009-03-24
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Defendant demands jury
Nature Of Suit:
Other Contract Actions

Parties

Party Name:
CLAXTON-HEPBURN MEDICAL CENTER
Party Role:
Defendant
Party Name:
HORIZON MENTAL HEALTH MANAGEME
Party Role:
Plaintiff

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Related by address

214 KING STREET, OGDENSBURG, NY, United States, 13669

CLAXTON-HEPBURN MEDICAL CENTER FOUNDATION NORTH STAR HEALING ARTS CENTER, LLC NORTH STAR HEALTH ALLIANCE, INC. EMPIRE STATE RADIOLOGY, P.C. NORTH COUNTRY MEDICAL IMAGING, P.C. ST. LAWRENCE HOSPITAL COUNCIL, INC.

Date of last update: 19 Mar 2025

Sources: New York Secretary of State

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