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NORTH COUNTRY EMERGENCY MEDICAL CONSULTANTS, P.C.

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Company Details

Name: NORTH COUNTRY EMERGENCY MEDICAL CONSULTANTS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 07 Oct 1999 (26 years ago)
Entity Number: 2426601
ZIP code: 13601
County: Jefferson
Place of Formation: New York
Address: SAMARITAN MEDICAL CENTER, 830 WASHINGTON ST, WATERTOWN, NY, United States, 13601

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent SAMARITAN MEDICAL CENTER, 830 WASHINGTON ST, WATERTOWN, NY, United States, 13601

Chief Executive Officer

Name Role Address
DR. MAJA LUNDBORG-GRAY Chief Executive Officer SAMARITAN MEDICAL CENTER, 830 WASHINGTON ST, WATERTOWN, NY, United States, 13601

National Provider Identifier

NPI Number:
1972572295

Authorized Person:

Name:
CHRISTINE CRUMP
Role:
HIPAA COMPLICANCE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3157884980

Form 5500 Series

Employer Identification Number (EIN):
161575015
Plan Year:
2023
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
27
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
27
Sponsors Telephone Number:

History

Start date End date Type Value
2001-10-01 2003-09-29 Address 830 WASHINGTON ST, WATERTOWN, NY, 13601, USA (Type of address: Chief Executive Officer)
1999-10-07 2001-10-01 Address 830 WASHINGTON STREET, WATERTOWN, NY, 13601, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
111206002444 2011-12-06 BIENNIAL STATEMENT 2011-10-01
091027002049 2009-10-27 BIENNIAL STATEMENT 2009-10-01
071004002019 2007-10-04 BIENNIAL STATEMENT 2007-10-01
030929002365 2003-09-29 BIENNIAL STATEMENT 2003-10-01
011001002187 2001-10-01 BIENNIAL STATEMENT 2001-10-01

USAspending Awards / Financial Assistance

Date:
2021-01-23
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:
512900.00
Total Face Value Of Loan:
512900.00

Paycheck Protection Program

Jobs Reported:
19
Initial Approval Amount:
$512,900
Date Approved:
2021-01-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$512,900
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$515,555.84
Servicing Lender:
Watertown Savings Bank
Use of Proceeds:
Payroll: $512,898

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Date of last update: 31 Mar 2025

Sources: New York Secretary of State