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CHAMPLAIN VALLEY CARDIOLOGY, P.C.

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Company Details

Name: CHAMPLAIN VALLEY CARDIOLOGY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Inactive
Date of registration: 26 Apr 2004 (21 years ago)
Date of dissolution: 24 Dec 2019
Entity Number: 3045120
ZIP code: 12901
County: Clinton
Place of Formation: New York
Principal Address: 206 CORNELIA ST, #305, PLATTSBURGH, NY, United States, 12901
Address: 206 CORNELIA STE 305, PLATTSBURGH, NY, United States, 12901

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 206 CORNELIA STE 305, PLATTSBURGH, NY, United States, 12901

Chief Executive Officer

Name Role Address
TIMOTHY J GARRAND MD Chief Executive Officer 206 CORNELIA ST, #305, PLATTSBURGH, NY, United States, 12901

National Provider Identifier

NPI Number:
1407809981

Authorized Person:

Name:
DR. TIMOTHY J GARRAND
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Fax:
5185627991

Form 5500 Series

Employer Identification Number (EIN):
201169553
Plan Year:
2014
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
11
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
191224000197 2019-12-24 CERTIFICATE OF DISSOLUTION 2019-12-24
060418002469 2006-04-18 BIENNIAL STATEMENT 2006-04-01
040426000870 2004-04-26 CERTIFICATE OF INCORPORATION 2004-04-26

USAspending Awards / Contracts

Procurement Instrument Identifier:
DJBRBKIB230143
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
3600.31
Base And Exercised Options Value:
3600.31
Base And All Options Value:
3600.31
Awarding Agency Name:
Department of Justice
Performance Start Date:
2008-12-16
Description:
CARDIOLOGY SERVICES FOR A FEDERAL INMATE.
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State