Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. St. Lawrence
    4. ›
  4. 13669
    5. ›
  5. CLAXTON-HEPBURN MEDICAL CENTER

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

USAspending Awards. Contracts

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

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
P04CS22842 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2011-09-01 2012-08-31 AFFORDABLE CARE ACT- HEALTH CENTER PLANNING GRANTS
Recipient CLAXTON-HEPBURN MEDICAL CENTER
Recipient Name Raw CLAXTON-HEPBURN MEDICAL CENTER
Recipient UEI CE9BS1TKEE85
Recipient DUNS 071594261
Recipient Address 214 KING STREET, OGDENSBURG, ST. LAWRENCE, NEW YORK, 13669-1142, UNITED STATES
Obligated Amount 80000.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

OSHA's Inspections within Industry

Inspection Nr Report ID Date Opened Site Address
345749667 0215800 2022-01-26 214 KING STREET, OGDENSBURG, NY, 13669
Inspection Type Complaint
Scope Complete
Safety/Health Health
Close Conference 2022-07-18
Emphasis N: COVID-19, P: COVID-19
Case Closed 2023-04-21

Related Activity
Type Complaint
Activity Nr 1858270
Health Yes

Violation Items
Citation ID 01001
Citaton Type Other
Standard Cited 19100502 Q03 III
Issuance Date 2022-07-18
Current Penalty 872.25
Initial Penalty 1163.0
Final Order 2022-07-21
Nr Instances 1
Nr Exposed 135
Related Event Code (REC) Complaint
FTA Current Penalty 0.0
Citation text line 29 CFR 1910.502(q)(3)(iii): The employer did not provide a version of the COVID-19 log that removes the names of employees, contact information, and occupation, and only includes, for each employee in the COVID-19 log, the location where the employee worked, the last day that the employee was at the workplace before removal, the date of that employee's positive test for, or diagnosis of, COVID-19, and the date the employee first had one or more COVID-19 symptoms, if any were experienced, to all of the following: any employees, their personal representatives, and their authorized representatives. a) At Claxton-Hepburn Medical Center, located at 214 King Street, Ogdensburg, NY., on or about 1/18/2022 thru 1/25/2022: The employer failed to provide a COVID-19 log to employee representatives, as required when requested on 1/7/2022.

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
15-0559686 Corporation Unconditional Exemption 214 KING ST, OGDENSBURG, NY, 13669-1142 1955-01
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
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)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2023-12
Asset 50,000,000 to greater
Income 50,000,000 to greater
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 161254905
Income Amount 145001371
Form 990 Revenue Amount 143066679
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name CLAXTON-HEPBURN MEDICAL CENTER
EIN 15-0559686
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name CLAXTON-HEPBURN MEDICAL CENTER
EIN 15-0559686
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name CLAXTON-HEPBURN MEDICAL CENTER
EIN 15-0559686
Tax Period 202012
Filing Type E
Return Type 990
File View File
Organization Name CLAXTON-HEPBURN MEDICAL CENTER
EIN 15-0559686
Tax Period 201912
Filing Type P
Return Type 990
File View File
Organization Name CLAXTON-HEPBURN MEDICAL CENTER
EIN 15-0559686
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name CLAXTON-HEPBURN MEDICAL CENTER
EIN 15-0559686
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name CLAXTON-HEPBURN MEDICAL CENTER
EIN 15-0559686
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name CLAXTON-HEPBURN MEDICAL CENTER
EIN 15-0559686
Tax Period 201512
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9609228804 2021-04-23 0248 PPP 214 King St, Ogdensburg, NY, 13669-1142
Loan Status Date 2022-04-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 9355852
Loan Approval Amount (current) 9355852
Undisbursed Amount 0
Franchise Name -
Lender Location ID 224780
Servicing Lender Name New York Business Development Corporation
Servicing Lender Address 50 Beaver Street, Albany, NY, 12207-1538
Rural or Urban Indicator R
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Ogdensburg, SAINT LAWRENCE, NY, 13669-1142
Project Congressional District NY-21
Number of Employees 500
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Non-Profit Organization
Originating Lender ID 224780
Originating Lender Name New York Business Development Corporation
Originating Lender Address Albany, NY
Gender Male Owned
Veteran Veteran
Forgiveness Amount 9442233.43
Forgiveness Paid Date 2022-03-31

Related by officers

THE CORPORATION

ARSHIA DESIGNS INC. AAA VACUUM CORP. ATLANTICA TELECOM, INC. MISTY SPORTSWEAR, INC. FAT JAMS ELECTRONICS INC. CROQUEMBOUCHE, INC. LONG BEACH PEDIATRIC GROUP, P.C. LAW OFFICES OF JOSEPH A. GRECO, P.C. TEREZ, INC. 732 CINNAMON BEACH INC.

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

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 bizyork.com, Part of Big Data Integrated