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TWIN RIVERS MEDICAL, P.C.

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Company Details

Name: TWIN RIVERS MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 05 Jan 2015 (11 years ago)
Entity Number: 4688534
ZIP code: 12090
County: Rensselaer
Place of Formation: New York
Address: ATTN:PRESIDENT, 16 DANFORTH ST, HOOSICK FALLS, NY, United States, 12090
Principal Address: 16 DANFORTH ST, HOOSICK FALLS, NY, United States, 12090

Contact Details

Phone +1 518-686-5770

Shares Details

Shares issued 100

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
TWIN RIVERS MEDICAL, P.C. DOS Process Agent ATTN:PRESIDENT, 16 DANFORTH ST, HOOSICK FALLS, NY, United States, 12090

Chief Executive Officer

Name Role Address
CARL DOBSON Chief Executive Officer 16 DANFORTH ST, HOOSICK FALLS, NY, United States, 12090

National Provider Identifier

NPI Number:
1063229458
Certification Date:
2025-04-10

Authorized Person:

Name:
CARL W DOBSON
Role:
CHIEF MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
5182926088

History

Start date End date Type Value
2025-02-06 2025-02-06 Address 16 DANFORTH ST, HOOSICK FALLS, NY, 12090, USA (Type of address: Chief Executive Officer)
2022-01-06 2025-02-06 Shares Share type: NO PAR VALUE, Number of shares: 100, Par value: 0
2021-01-04 2025-02-06 Address ATTN:PRESIDENT, 16 DANFORTH ST, HOOSICK FALLS, NY, 12090, USA (Type of address: Service of Process)
2017-08-10 2021-01-04 Address ATTN:PRESIDENT, 16 DANFORTH ST, HOOSICK FALLS, NY, 12090, USA (Type of address: Service of Process)
2017-08-10 2025-02-06 Address 16 DANFORTH ST, HOOSICK FALLS, NY, 12090, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
250206003969 2025-02-06 BIENNIAL STATEMENT 2025-02-06
210104060185 2021-01-04 BIENNIAL STATEMENT 2021-01-01
190110060057 2019-01-10 BIENNIAL STATEMENT 2019-01-01
170810006092 2017-08-10 BIENNIAL STATEMENT 2017-01-01
150105000634 2015-01-05 CERTIFICATE OF INCORPORATION 2015-01-05

Tax Exempt

Employer Identification Number (EIN) :
47-3028931
In Care Of Name:
% STEPHEN MAJETICH
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:
2017-09
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

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State