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MASSENA HOSPITAL, INC.

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Company Details

Name: MASSENA HOSPITAL, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 17 Sep 2019 (6 years ago)
Entity Number: 5622193
ZIP code: 13662
County: St. Lawrence
Place of Formation: New York
Address: C/O CHIEF EXECUTIVE OFFICER, 1 HOSPITAL DR, MASSENA, NY, United States, 13662

Contact Details

Phone +1 315-842-3049

Phone +1 315-764-0221

Phone +1 315-769-8950

Phone +1 315-705-0101

Phone +1 315-769-4638

Phone +1 315-842-3095

Phone +1 315-769-4656

Phone +1 315-769-1667

Phone +1 315-769-4343

Phone +1 315-764-1711

Phone +1 315-769-4700

Phone +1 315-389-4525

Phone +1 315-384-4550

Phone +1 315-769-4340

Phone +1 315-769-4200

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent C/O CHIEF EXECUTIVE OFFICER, 1 HOSPITAL DR, MASSENA, NY, United States, 13662

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:
UCR8ZKDQQ7V1
CAGE Code:
3PFP3
UEI Expiration Date:
2022-12-21

Business Information

Doing Business As:
MASSENA MEMORIAL HOSPITAL
Division Name:
MASSENA HOSPITAL INC
Division Number:
MASSENA HO
Activation Date:
2021-12-23
Initial Registration Date:
2020-07-31

National Provider Identifier

NPI Number:
1619756640
Certification Date:
2025-03-24

Authorized Person:

Name:
ASHLEY PEGGS
Role:
PROVIDER ENROLLMENT MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
275N00000X - Medicare Defined Swing Bed Hospital Unit
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
201231000274 2020-12-31 CERTIFICATE OF AMENDMENT 2020-12-31
191231000611 2019-12-31 CERTIFICATE OF AMENDMENT 2019-12-31
190917000245 2019-09-17 CERTIFICATE OF INCORPORATION 2019-09-17

Tax Exempt

Employer Identification Number (EIN) :
84-3134268
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:
2020-03
National Taxonomy Of Exempt Entities:
Health Care: Hospital, General
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: 23 Mar 2025

Sources: New York Secretary of State