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MIDDLETOWN COMMUNITY HEALTH CENTER, INC.

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Company Details

Name: MIDDLETOWN COMMUNITY HEALTH CENTER, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 04 May 1977 (48 years ago)
Entity Number: 433215
County: Orange
Place of Formation: New York

Agent

Name Role Address
N/A %THE CORP. Agent 164-168 WEST MAIN ST., MIDDLETOWN, NY, 10940

Unique Entity ID

CAGE Code:
4H4R2
UEI Expiration Date:
2018-07-10

Business Information

Activation Date:
2017-07-10
Initial Registration Date:
2006-08-01

Commercial and government entity program

CAGE number:
4H4R2
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-03-05
CAGE Expiration:
2022-07-10

Contact Information

POC:
SYBIL MEDINA
Corporate URL:
http://www.mchccares.org

National Provider Identifier

NPI Number:
1942621800

Authorized Person:

Name:
MARYJO JOBITY
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
141588402
Plan Year:
2015
Number Of Participants:
47
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
47
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
49
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
113
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
110
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
20100310015 2010-03-10 ASSUMED NAME CORP INITIAL FILING 2010-03-10
A397656-10 1977-05-04 CERTIFICATE OF INCORPORATION 1977-05-04

USAspending Awards / Financial Assistance

Date:
2012-12-17
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
AFFORDABLE CARE ACT (ACA) GRANTS FOR SCHOOL-BASED HEALTH CENTERS CAPITAL PROGRAM
Obligated Amount:
471634.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2012-04-25
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
CAPITAL DEVELOPMENT
Obligated Amount:
500000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2009-06-25
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
ARRA - CAPITAL IMPROVEMENT PROGRAM
Obligated Amount:
763415.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2009-09-18
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
ARRA - INCREASE SERVICES TO HEALTH CENTERS
Obligated Amount:
271303.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2016-09-13
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HEALTH CENTER CLUSTER
Obligated Amount:
14413939.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

OSHA's Inspections within Industry

Inspection Summary

Date:
2010-07-22
Type:
Complaint
Address:
140 HAMMOND ST, PORT JERVIS, NY, 12771
Safety Health:
Health
Scope:
Partial

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Date of last update: 18 Mar 2025

Sources: New York Secretary of State