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OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.

Company Details

Name: OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 20 May 1936 (89 years ago)
Entity Number: 38264
ZIP code: 12207
County: Broome
Place of Formation: New York
Address: 80 STATE STREET, ALBANY, NY, United States, 12207

Contact Details

Phone +1 607-798-5111

DOS Process Agent

Name Role Address
C/O CORPORATION SERVICE COMPANY DOS Process Agent 80 STATE STREET, ALBANY, NY, United States, 12207

Agent

Name Role Address
N/A: THE CORP Agent 169 RIVERSIDE DR., BINGHAMTON, NY, 13905

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:
MR9LDZZZBZW6
CAGE Code:
49KV4
UEI Expiration Date:
2025-04-25

Business Information

Division Name:
YOUTH SERVICES
Activation Date:
2024-04-29
Initial Registration Date:
2006-01-18

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:
49KV4
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-04-29
SAM Expiration:
2025-04-25

Contact Information

POC:
ROB MADSEN
Phone:
+1 512-324-5615

National Provider Identifier

NPI Number:
1659068690
Certification Date:
2023-05-22

Authorized Person:

Name:
LISA BRONSON
Role:
RESIDENCY/FELLOWSHIP PROGRAMMANAGER
Phone:

Taxonomy:

Selected Taxonomy:
390200000X - Student in an Organized Health Care Education/Training Program
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
150532221
Plan Year:
2012
Number Of Participants:
1672
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
2289
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
1753
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
1535
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
2126
Sponsors Telephone Number:

History

Start date End date Type Value
2017-10-31 2024-02-02 Address 80 STATE STREET, ALBANY, NY, 12207, 2543, USA (Type of address: Service of Process)
2000-02-24 2017-10-31 Address 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905, USA (Type of address: Service of Process)
1997-09-22 2000-02-24 Address 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13901, USA (Type of address: Service of Process)
1995-05-12 1997-09-22 Address 169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13901, USA (Type of address: Service of Process)
1973-09-20 2024-02-02 Address 169 RIVERSIDE DR., BINGHAMTON, NY, 13905, USA (Type of address: Registered Agent)

Filings

Filing Number Date Filed Type Effective Date
240202001412 2024-02-01 RESTATED CERTIFICATE 2024-02-01
171031000629 2017-10-31 CERTIFICATE OF CHANGE 2017-10-31
151222000495 2015-12-22 CERTIFICATE OF AMENDMENT 2015-12-22
20101108032 2010-11-08 ASSUMED NAME CORP INITIAL FILING 2010-11-08
000224000819 2000-02-24 CERTIFICATE OF AMENDMENT 2000-02-24

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C24218N0051
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2018-03-12
Total Dollars Obligated:
4182.15
Current Total Value Of Award:
4182.15
Potential Total Value Of Award:
4182.15
Description:
IGF::OT::IGF - RADIOLOGY SERVICES TO SUPPORT BINGHAMTON CBOC.
Naics Code:
621512: DIAGNOSTIC IMAGING CENTERS
Product Or Service Code:
Q522: MEDICAL- RADIOLOGY
Procurement Instrument Identifier:
VA24217J0001
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2017-08-31
Total Dollars Obligated:
31160.00
Current Total Value Of Award:
31160.00
Potential Total Value Of Award:
31160.00
Description:
IGF::OT::IGF - RADIOLOGY SERVICES TO SUPPORT BINGHAMTON CBOC.
Naics Code:
621512: DIAGNOSTIC IMAGING CENTERS
Product Or Service Code:
Q522: MEDICAL- RADIOLOGY
Procurement Instrument Identifier:
VA52816J0006
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2016-08-03
Description:
IGF::OT::IGF - RADIOLOGY SERVICES TO SUPPORT BINGHAMTON CBOC. FUNDING FOR FY 2016
Naics Code:
621512: DIAGNOSTIC IMAGING CENTERS
Product Or Service Code:
Q522: MEDICAL- RADIOLOGY

USAspending Awards / Financial Assistance

Date:
2018-02-08
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
MINORITY YOUTH VIOLENCE PREVENTION PROGRAM
Obligated Amount:
-223587.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2014-09-25
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
MINORITY YOUTH VIOLENCE PREVENTION PROGRAM
Obligated Amount:
976608.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2008-07-11
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HEALTH CARE AND OTHER FACILITIES
Obligated Amount:
331692.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2008-09-08
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
2004 AFL ABSTINENCE EDUCATION PREVENTION GRANTS; HELPING OUR PARENTS TO BE EDUCATORS - HOPE PROJECT
Obligated Amount:
435831.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Trademarks Section

Serial Number:
73514007
Mark:
L
Status:
CANCELLED - SECTION 8
Mark Type:
SERVICE MARK
Application Filing Date:
1984-12-17
Mark Drawing Type:
Illustration: Drawing with word(s)/letter(s)/number(s) in Stylized form
Mark Literal Elements:
L

Goods And Services

For:
HEALTH CARE SERVICES
First Use:
1984-07-01
International Classes:
042 - Primary Class
Class Status:
Sec. 8 – Entire Registration

OSHA's Inspections within Industry

Inspection Summary

Date:
2022-03-11
Type:
FollowUp
Address:
169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2021-01-13
Type:
Complaint
Address:
169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2020-11-04
Type:
Fat/Cat
Address:
415 EAST MAIN STREET, ENDICOTT, NY, 13760
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2020-03-04
Type:
Complaint
Address:
169 RIVERSIDE DRIVE, BINGHAMTON, NY, 13905
Safety Health:
Safety
Scope:
Partial

Motor Carrier Census

Carrier Operation:
Intrastate Non-Hazmat
Add Date:
2011-03-22
Operation Classification:
Private(Property)
power Units:
6
Drivers:
5
Inspections:
1
FMCSA Link:

Date of last update: 19 Mar 2025

Sources: New York Secretary of State