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  5. PREMIUM HEALTH, INC.

PREMIUM HEALTH, INC.

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Company Details

Name: PREMIUM HEALTH, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 20 Apr 2010 (15 years ago)
Entity Number: 3939132
ZIP code: 11219
County: New York
Place of Formation: New York
Address: 5904 13TH AVENUE, BROOKLYN, NY, United States, 11219

Contact Details

Phone +1 718-407-7300

Phone +1 718-438-4400

Phone +1 844-370-6199

Phone +1 646-261-1195

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 5904 13TH AVENUE, BROOKLYN, NY, United States, 11219

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:
N8K9BMVL41J8
CAGE Code:
89AG4
UEI Expiration Date:
2026-03-03

Business Information

URL:
http://premiumhealthcenter.org/
Activation Date:
2025-03-04
Initial Registration Date:
2019-02-15

National Provider Identifier

NPI Number:
1558160903
Certification Date:
2025-03-10
Link:
View on NPI website

Authorized Person:

Name:
JOEL WRIGHT
Role:
PRESIDENT PHARMACY SERVICES
Phone:
8062427782

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Phone:
+1 806-242-7782
Fax:
8063245495

Form 5500 Series

Employer Identification Number (EIN):
300640372
Plan Year:
2023
Number Of Participants:
105
File:
View File
Plan Year:
2023
Number Of Participants:
105
Plan Year:
2022
Number Of Participants:
119
Sponsors Telephone Number:
7184077300
File:
View File
Plan Year:
2021
Number Of Participants:
0
Sponsors Telephone Number:
7184077300
File:
View File
Plan Year:
2021
Number Of Participants:
0
Sponsors Telephone Number:
7184077300

Filings

Filing Number Date Filed Type Effective Date
100420000788 2010-04-20 CERTIFICATE OF INCORPORATION 2010-04-20

USAspending Awards / Financial Assistance

Date:
2022-01-27
Link:
View on USAspending
Awarding Agency Name:
Federal Communications Commission
Transaction Description:
TELEHEALTH FOR PREMIUM HEALTH CENTERS
Obligated Amount:
29438.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-03-23
Link:
View on USAspending
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:
19791.00
Total Face Value Of Loan:
19791.00
Date:
2021-02-16
Link:
View on USAspending
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:
1051100.00
Total Face Value Of Loan:
1051100.00
Date:
2020-05-25
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-30
Link:
View on USAspending
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:
925100.00
Total Face Value Of Loan:
925100.00

Tax Exempt

Employer Identification Number (EIN) :
30-0640372
In Care Of Name:
% MEIR BRODY
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:
2010-09
National Taxonomy Of Exempt Entities:
Health Care: Ambulatory Health Center, Community Clinic
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Link:
Download file
Link:
Download file

Paycheck Protection Program

Date Approved:
2021-02-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
1051100
Current Approval Amount:
1051100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
1060267.93
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
925100
Current Approval Amount:
925100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
934351

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Related by address

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State

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