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CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN, LLC

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Company Details

Name: CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 05 Dec 2008 (17 years ago)
Entity Number: 3749909
ZIP code: 10941
County: Orange
Place of Formation: New York
Address: ATTN: CHIEF LEGAL OFFICER, 155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, United States, 10941

Contact Details

Phone +1 845-703-6101

Fax +1 845-703-6101

DOS Process Agent

Name Role Address
CRYSTAL RUN AMBULATORY SURGERY CENTER OF MIDDLETOWN, LLC DOS Process Agent ATTN: CHIEF LEGAL OFFICER, 155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, United States, 10941

National Provider Identifier

NPI Number:
1922230853
Certification Date:
2025-02-17

Authorized Person:

Name:
DAVID ORTIZ
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8457036297

Form 5500 Series

Employer Identification Number (EIN):
270476822
Plan Year:
2023
Number Of Participants:
113
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
113
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
87
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
94
Sponsors Telephone Number:

History

Start date End date Type Value
2024-10-02 2024-12-02 Address ATTN: CHIEF LEGAL OFFICER, 155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 10941, USA (Type of address: Service of Process)
2020-08-21 2024-10-02 Address ATTN: CHIEF LEGAL OFFICER, 155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 10941, USA (Type of address: Service of Process)
2012-12-20 2020-08-21 Address ATTN: CFO, 155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 10941, USA (Type of address: Service of Process)
2009-07-10 2012-12-20 Address 155 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 10941, USA (Type of address: Service of Process)
2008-12-05 2009-07-10 Address ATTN: PRESIDENT, 95 CRYSTAL RUN ROAD, MIDDLETOWN, NY, 10941, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241202003179 2024-12-02 BIENNIAL STATEMENT 2024-12-02
241002003992 2024-10-02 BIENNIAL STATEMENT 2024-10-02
210517060599 2021-05-17 BIENNIAL STATEMENT 2020-12-01
200821060186 2020-08-21 BIENNIAL STATEMENT 2018-12-01
141204006647 2014-12-04 BIENNIAL STATEMENT 2014-12-01

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State