| Name: | CHAUTAUQUA MEDICAL PRACTICE, P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 11 Feb 2010 (15 years ago) |
| Entity Number: | 3911709 |
| County: | Chautauqua |
| Place of Formation: | New York |
| Address: | 3400 HSBC CENTER, BUFFALO, NY, United States, 14203 |
| Address ZIP Code: | 14203 |
| Principal Address: | 4936 Main Street, Bemus Point, NY, United States, 14712 |
| Principal Address ZIP Code: | 14712 |
Contact Details
Phone +1 716-386-2414
Shares Details
Shares issued 200
Share Par Value 0
Type NO PAR VALUE
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| GWS5T3T6JHJ8 | 2024-12-26 | 4936 MAIN ST, BEMUS POINT, NY, 14712, 9667, USA | PO BOX 645903, PITTSBURGH, PA, 15264, 5257, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 23 |
| State/Country of Incorporation | NY, USA |
| Activation Date | 2024-01-02 |
| Initial Registration Date | 2023-12-27 |
| Entity Start Date | 2019-02-05 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621111, 621399 |
| Product and Service Codes | Q501, Q502, Q505, Q509, Q510, Q513, Q522, Q523 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SANDRA PALMER |
| Role | ENROLLMENT SPECIALIST |
| Address | 4 ALLEGHENY CENTER, 10TH FLOOR CASHAPS, PITTSBURGH, PA, 15212, USA |
| Title | ALTERNATE POC |
| Name | MELINDA DANNER |
| Role | MANAGER, CASH APPLICAITIONS |
| Address | 4 ALLEGHENY CENTER, 10TH FLOOR CASHAPS, PITTSBURGH, PA, 15212, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SANDRA PALMER |
| Role | ENROLLMENT SPECIALIST |
| Address | 4 ALLEGHENY CENTER, 10TH FLOOR CASHAPS, PITTSBURGH, PA, 15212, USA |
| Title | ALTERNATE POC |
| Name | MELINDA DANNER |
| Role | MANAGER, CASH APPLICAITIONS |
| Address | 4 ALLEGHENY CENTER, 10TH FLOOR CASHAPS, PITTSBURGH, PA, 15212, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | MELINDA DANNER |
| Role | MANAGER, CASH APPLICAITIONS |
| Address | 4 ALLEGHENY CENTER, 10TH FLOOR CASHAPS, PITTSBURGH, PA, 15212, USA |
| Title | ALTERNATE POC |
| Name | MELINDA DANNER |
| Role | MANAGER, CASH APPLICAITIONS |
| Address | 4 ALLEGHENY CENTER, 10TH FLOOR CASHAPS, PITTSBURGH, PA, 15212, USA |
| Name | Role | Address |
|---|---|---|
| C/O PHILLIPS LYTLE LLP | DOS Process Agent | 3400 HSBC CENTER, BUFFALO, NY, United States, 14203 |
| Name | Role | Address |
|---|---|---|
| MD PAUL S HOLLEY | Chief Executive Officer | 4936 MAIN STREET, BEMUS POINT, NY, United States, 14712 |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 220506002490 | 2022-05-06 | BIENNIAL STATEMENT | 2022-02-01 |
| 190207000288 | 2019-02-07 | CERTIFICATE OF AMENDMENT | 2019-02-07 |
| 100211000681 | 2010-02-11 | CERTIFICATE OF INCORPORATION | 2010-02-11 |
Date of last update: 08 Nov 2024
Sources: New York Secretary of State
