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 | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CE9BS1TKEE85 | 2025-03-21 | 214 KING ST, OGDENSBURG, NY, 13669, 1142, USA | 214 KING STREET, OGDENSBURG, NY, 13669, 1142, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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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 | |
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Title | PRIMARY POC |
Name | EMMA BEAUCHAMP |
Role | STAFF ACCOUNTANT |
Address | 214 KING ST, OGDENSBURG, NY, 13669, USA |
Government Business | |
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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 | |
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Title | ALTERNATE POC |
Name | SHARON NAVARRA |
Role | ACCOUNTING MANAGER |
Address | FINANCE, 214 KING STREET, OGDENSBURG, NY, 13669, 1142, USA |
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 | |||||||||||||||
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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 |
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Immediate Level Owner | Information not Available |
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List of Offerors (0) | Information not Available |
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LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
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5493001X7KB1NCX8NT64 | 14089 | US-NY | GENERAL | ACTIVE | No data | |||||||||||||||||||
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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 |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||
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CLAXTON HEPBURN MEDICAL CENTER SHORT TERM DISABILITY PLAN | 2011 | 150559686 | 2012-07-31 | CLAXTON HEPBURN MEDICAL CENTER | 894 | |||||||||||||||||||||||||||||||||||||||
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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 |
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 |
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 |
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 |
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 |
Name | Role | Address |
---|---|---|
THE CORPORATION | DOS Process Agent | 214 KING STREET, OGDENSBURG, NY, United States, 13669 |
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 |
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 |
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 | |||||||||||||||||||||||
|
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 |
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