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CLAXTON MEDICAL, P.C.

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Company Details

Name: CLAXTON MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Dec 2008 (17 years ago)
Entity Number: 3755641
ZIP code: 13669
County: St. Lawrence
Place of Formation: New York
Address: 214 KING STREET, ATTN: PRESIDENT, OGDENSBURG, NY, United States, 13669

Contact Details

Phone +1 315-393-1715

Phone +1 315-393-0735

Phone +1 315-713-6770

Phone +1 315-482-2511

Phone +1 315-394-7542

Phone +1 315-374-6472

Phone +1 315-375-6546

Phone +1 315-379-4700

Phone +1 315-393-7955

Phone +1 315-394-6470

Phone +1 315-705-0101

Phone +1 315-393-2314

Phone +1 315-393-0493

Phone +1 315-393-3600

Phone +1 315-393-8400

Phone +1 315-393-0797

Phone +1 315-394-0426

Phone +1 315-764-1711

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION, C/O CLAXTON-HEPBURN MEDICAL CENTER DOS Process Agent 214 KING STREET, ATTN: PRESIDENT, OGDENSBURG, NY, United States, 13669

National Provider Identifier

NPI Number:
1013399617

Authorized Person:

Name:
WYLON SPRINGSTEAD
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2008-12-23 2025-03-19 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
081223000049 2008-12-23 CERTIFICATE OF INCORPORATION 2008-12-23

Tax Exempt

Employer Identification Number (EIN) :
26-4009395
In Care Of Name:
% ADAM JARRETT
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:
2013-11
National Taxonomy Of Exempt Entities:
Health Care: Health Treatment Facilities, Primarily Outpatient
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State