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CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER

Company Details

Name: CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 13 Oct 1910 (115 years ago)
Entity Number: 29737
ZIP code: 12901
County: Clinton
Place of Formation: New York
Address: 75 BEEKMAN STREET, PLATTSBURGH, NY, United States, 12901

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 75 BEEKMAN STREET, PLATTSBURGH, NY, United States, 12901

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
NAXMBLMHCLR6
CAGE Code:
3NQV5
UEI Expiration Date:
2025-12-23

Business Information

Doing Business As:
UNIVERSITY OF VERMONT HEALTH NETWORK-CHAMPLAIN VAL
Activation Date:
2024-12-24
Initial Registration Date:
2020-02-11

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
3NQV5
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-12-24
SAM Expiration:
2025-12-23

Contact Information

POC:
ALEXANDRA MESICK
Corporate URL:
http://www.cvph.org

National Provider Identifier

NPI Number:
1124481700
Certification Date:
2023-02-02

Authorized Person:

Name:
MICHELLE LEBEAU
Role:
PRESIDENT, COO
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
5185627183

Form 5500 Series

Employer Identification Number (EIN):
141338471
Plan Year:
2021
Number Of Participants:
2025
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
2104
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
2526
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
1131
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
479
Sponsors Telephone Number:

History

Start date End date Type Value
2012-12-21 2018-01-08 Address 75 BEEKMAN STREET, PLATTSBURGH, NY, 12901, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
180108000228 2018-01-08 CERTIFICATE OF AMENDMENT 2018-01-08
121221000879 2012-12-21 CERTIFICATE OF AMENDMENT 2012-12-21
A901700-2 1982-09-10 ASSUMED NAME CORP INITIAL FILING 1982-09-10
874670-4 1970-12-11 CERTIFICATE OF AMENDMENT 1970-12-11
760770-4 1969-06-02 CERTIFICATE OF AMENDMENT 1969-06-02

USAspending Awards / Contracts

Procurement Instrument Identifier:
HSBP1107P15840
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
0.00
Base And Exercised Options Value:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Homeland Security
Performance Start Date:
2017-05-31
Description:
DHS BULK CLOSE OUT
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE
Procurement Instrument Identifier:
DJBP0212KMS30015
Award Or Idv Flag:
AWARD
Award Type:
BPA
Action Obligation:
26487.40
Base And Exercised Options Value:
26487.40
Base And All Options Value:
26487.40
Awarding Agency Name:
Department of Justice
Performance Start Date:
2011-09-14
Description:
EMERGENCY HOSPITAL SERICES FOR FISCAL YEAR 2011.
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
C114: HOSPITAL BUILDINGS
Procurement Instrument Identifier:
DJBP0212BPA110002
Award Or Idv Flag:
IDV
Action Obligation:
0.00
Base And Exercised Options Value:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Justice
Performance Start Date:
2010-10-29
Description:
HOSPITAL SERVICES FOR FISCAL YEAR 2011. THIS BPA IS TO ESTABLISH AND ACCRAL FOR MEDICAL AND SURGICAL SERIVCES AT C.V.P.H. FROM 10/01/2010 - 09/30/2011. PLEASE SEE ATTACHED BPA GUIDELINES.
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
AN41: HEALTH SERVICES (BASIC)

USAspending Awards / Financial Assistance

Date:
2025-03-13
Awarding Agency Name:
Department of Education
Transaction Description:
2024-2025 DL BASE RECORD
Obligated Amount:
0.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2025-02-19
Awarding Agency Name:
Department of Education
Transaction Description:
PELL GRANTS
Obligated Amount:
45.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2025-02-11
Awarding Agency Name:
Department of Education
Transaction Description:
GRANT PROGRAM
Obligated Amount:
51885.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2024-02-21
Awarding Agency Name:
Department of Education
Transaction Description:
PELL GRANTS
Obligated Amount:
35.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-09-27
Awarding Agency Name:
Department of Education
Transaction Description:
2023-2024 DIRECT LOAN BASE RECORD
Obligated Amount:
0.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Trademarks Section

Serial Number:
75385172
Status:
CANCELLED - SECTION 8
Mark Type:
SERVICE MARK
Application Filing Date:
1997-10-27
Mark Drawing Type:
Illustration: Drawing or design without any word(s)/letter(s)/ number(s)

Goods And Services

For:
Medical services
First Use:
1996-06-01
International Classes:
042 - Primary Class
Class Status:
Sec. 8 – Entire Registration

Tax Exempt

Employer Identification Number (EIN) :
14-1338471
In Care Of Name:
% GENERAL ACCOUNTING
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, 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:
1932-06
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Date of last update: 19 Mar 2025

Sources: New York Secretary of State