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NORTH COUNTRY MEDICINE, PLLC

Company Details

Name: NORTH COUNTRY MEDICINE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Nov 2004 (21 years ago)
Entity Number: 3128795
ZIP code: 12801
County: Warren
Place of Formation: New York
Address: 461 GLEN STREET, GLENS FALLS, NY, United States, 12801

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 461 GLEN STREET, GLENS FALLS, NY, United States, 12801

National Provider Identifier

NPI Number:
1346463940

Authorized Person:

Name:
DR. DIANE MARIE MACDONNELL
Role:
PROPRIETOR
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
5187450010

Licenses

Number Type Date End date Address
21NO1386996 Appearance Enhancement Business License 2011-04-07 2025-04-07 461 GLEN ST, GLENS FALLS, NY, 12804

History

Start date End date Type Value
2004-11-19 2008-11-13 Address 461 GLEN STREET, GLENS FALLS, NY, 12801, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
121114002067 2012-11-14 BIENNIAL STATEMENT 2012-11-01
110107002832 2011-01-07 BIENNIAL STATEMENT 2010-11-01
081113002008 2008-11-13 BIENNIAL STATEMENT 2008-11-01
061031002113 2006-10-31 BIENNIAL STATEMENT 2006-11-01
050815000276 2005-08-15 AFFIDAVIT OF PUBLICATION 2005-08-15

USAspending Awards / Financial Assistance

Date:
2021-01-30
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:
34510.00
Total Face Value Of Loan:
34510.00
Date:
2020-04-27
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:
31000.00
Total Face Value Of Loan:
31000.00

Paycheck Protection Program

Date Approved:
2021-01-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
34510
Current Approval Amount:
34510
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
34688.3
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
31000
Current Approval Amount:
31000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
31400.42

Date of last update: 29 Mar 2025

Sources: New York Secretary of State