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CARONDELET REGIONAL MEDICAL, P.C.

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Company Details

Name: CARONDELET REGIONAL MEDICAL, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Dec 2016 (9 years ago)
Entity Number: 5046259
ZIP code: 12207
County: Montgomery
Place of Formation: New York
Principal Address: 427 GUY PARK AVENUE, AMSTERDAM, NY, United States, 12010
Address: 80 STATE STREET, ALBANY, NY, United States, 12207

Contact Details

Phone +1 518-883-3121

Phone +1 518-770-7518

Phone +1 518-843-6914

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

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

Chief Executive Officer

Name Role Address
RONALD R. MARSH, MD Chief Executive Officer 427 GUY PARK AVENUE, AMSTERDAM, NY, United States, 12010

Unique Entity ID

Unique Entity ID:
N7WVE4CR7YJ5
UEI Expiration Date:
2024-11-20

Business Information

Division Name:
CARONDELET REGIONAL MEDICAL PC
Activation Date:
2023-11-23
Initial Registration Date:
2023-11-21

National Provider Identifier

NPI Number:
1972296630
Certification Date:
2023-05-22

Authorized Person:

Name:
RONALD N MARSH
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5188838268

History

Start date End date Type Value
2025-01-30 2025-01-30 Address 427 GUY PARK AVENUE, AMSTERDAM, NY, 12010, USA (Type of address: Chief Executive Officer)
2024-11-15 2025-01-30 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2024-11-15 2025-01-30 Address 80 STATE STREET, 19 Dove Street, Suite 202, ALBANY, NY, 12207, USA (Type of address: Service of Process)
2024-11-15 2025-01-30 Address 427 GUY PARK AVENUE, AMSTERDAM, NY, 12010, USA (Type of address: Chief Executive Officer)
2024-11-15 2024-11-15 Address 427 GUY PARK AVENUE, AMSTERDAM, NY, 12010, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
250130016457 2025-01-30 BIENNIAL STATEMENT 2025-01-30
241115003102 2024-11-15 BIENNIAL STATEMENT 2024-11-15
201201060268 2020-12-01 BIENNIAL STATEMENT 2020-12-01
181203006971 2018-12-03 BIENNIAL STATEMENT 2018-12-01
171113000976 2017-11-13 CERTIFICATE OF CHANGE 2017-11-13

Tax Exempt

Employer Identification Number (EIN) :
81-4769136
In Care Of Name:
% MICHAEL REYNOLDS
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:
2019-06
National Taxonomy Of Exempt Entities:
Health Care: Hospitals and Related Primary Medical Care Facilities
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State