Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Leon
    4. ›
  4. 32308
    5. ›
  5. NORTH FLORIDA MEDICAL CENTERS, INC.

NORTH FLORIDA MEDICAL CENTERS, INC. - Florida Company Profile

Company Details

Entity Name: NORTH FLORIDA MEDICAL CENTERS, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 09 Jan 1979 (46 years ago)
Last Event: AMENDMENT
Event Date Filed: 26 Aug 2020 (5 years ago)
Document Number: 745494
FEI/EIN Number 591915144

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 2804 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL, 32308, US
Mail Address: 2804 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL, 32308, US
ZIP code: 32308
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437755725 2020-12-10 2020-12-10 2804 REMINGTON GREEN CIR STE 2, TALLAHASSEE, FL, 323081550, US 1249 STRONG RD, QUINCY, FL, 323515248, US

Contacts
Phone +1 850-385-4494

Authorized person
Name LANE MILLER LUNN
Role PRESIDENT/CEO
Phone 8503854494

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTH FLORIDA MEDICAL CENTERS 403(B) PLAN 2009 591915144 2010-10-15 NORTH FLORIDA MEDICAL CENTERS 118
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-04-01
Business code 621111
Sponsor’s telephone number 8503854494
Plan sponsor’s address 535 JOHN KNOX ROAD, TALLAHASSEE, FL, 32303

Plan administrator’s name and address
Administrator’s EIN 591915144
Plan administrator’s name NORTH FLORIDA MEDICAL CENTERS
Plan administrator’s address 535 JOHN KNOX ROAD, TALLAHASSEE, FL, 32303
Administrator’s telephone number 8503854494

Signature of
Role Plan administrator
Date 2010-10-15
Name of individual signing SUSAN KELLER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
COULTHURST BARBARA Director 172 W. MAIN STREET, MAYO, FL, 32066
LUNN LANE Chief Executive Officer 983 OLD FARM ROAD, TALLAHASSEE, FL, 32317
MAYHANN DELORES Director 325 LAKE GROVE ROAD, WEWAHITCHKA, FL, 32465
Shepard Grayson Director PO BOX 695, EASTPOINT, FL, 323280695
PARRISH ELLA MAE Director 1886 HOLT ROAD, PERRY, FL, 32348
Wiggins Victoria Chief Financial Officer 5472 MARBLE COURT, MARIANNA, FL, 32446
LUNN LANE Agent 2804 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL, 32308

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000046956 WEWAHITCHKA MEDICAL CENTER ACTIVE 2018-04-12 2028-12-31 - 255 W RIVER ROAD, PO BOX 40, WEWAHITCHKA, FL, 32465
G17000130903 NORTH MONROE MEDICAL CENTER ACTIVE 2017-11-30 2027-12-31 - 2804 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL, 32308
G15000098257 ST JOE MEDICAL CENTER EXPIRED 2015-09-24 2020-12-31 - 2804 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL, 32308
G14000084954 CAPITAL MEDICAL CENTER EXPIRED 2014-08-18 2019-12-31 - 2804 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL, 32308
G14000070912 MADISON MEDICAL CENTER ACTIVE 2014-07-09 2029-12-31 - 2804 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL, 32308
G14000070597 TAYLOR MEDICAL/DENTAL CENTER EXPIRED 2014-07-08 2024-12-31 - 2804 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL, 32308
G12000067671 RIVER VALLEY MEDICAL CENTER ACTIVE 2012-07-06 2027-12-31 - 710 WEST MAIN STREET, MAYO,, FL, 32006
G11000116305 JESSIE FURLOW MEDICAL CENTER ACTIVE 2011-12-09 2026-12-31 - 2804 REMINGTON GREEN CIR, STE 2, TALLAHASSEE, FL, 32308--155
G10000030164 CRESTVIEW DENTAL CENTER ACTIVE 2010-04-05 2025-12-31 - 2804 REMINGTON GREEN CIRCLE, #2, TALLAHASSEE, FL, 32308
G09023900311 JESSIE FURLOW MEDICAL CENTER EXPIRED 2009-01-23 2014-12-31 - P.O. BOX 2009, 1249 STRONG ROAD, QUINCY, FL, 32351

Events

Event Type Filed Date Value Description
AMENDMENT 2020-08-26 - -
REGISTERED AGENT ADDRESS CHANGED 2017-03-29 2804 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL 32308 -
CHANGE OF PRINCIPAL ADDRESS 2017-03-29 2804 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL 32308 -
CHANGE OF MAILING ADDRESS 2017-03-29 2804 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL 32308 -
REGISTERED AGENT NAME CHANGED 2017-03-29 LUNN, LANE -
REINSTATEMENT 1996-11-05 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 1996-08-23 - -
CORPORATE MERGER 1995-03-29 - CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 4. CORPORATE MERGER NUMBER 500000006255
AMENDMENT AND NAME CHANGE 1991-10-01 NORTH FLORIDA MEDICAL CENTERS, INC. -

Documents

Name Date
ANNUAL REPORT 2024-02-07
ANNUAL REPORT 2023-02-03
ANNUAL REPORT 2022-03-22
ANNUAL REPORT 2021-02-24
Amendment 2020-08-26
ANNUAL REPORT 2020-03-11
ANNUAL REPORT 2019-03-07
ANNUAL REPORT 2018-02-06
AMENDED ANNUAL REPORT 2017-04-05
Reg. Agent Change 2017-03-29

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD V548PROSFY08070876909 2008-09-19 2008-09-19 2008-09-19
Unique Award Key CONT_AWD_V548PROSFY08070876909_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROSTHETICS EXPRESS REPORT FY 08
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes J065: MAINT-REP OF MEDICAL-DENTAL-VET EQ

Recipient Details
Recipient NORTH FLORIDA MEDICAL CENTERS, INC.
UEI QNEVEWL5V3R7
Legacy DUNS 070876909
Recipient Address 535 JOHN KNOX RD, TALLAHASSEE, 323034117, UNITED STATES

USAspending Awards. Financial Assistance

FAIN Awarding Agency Assistance Listings Start Date End Date Description
C8ACS21358 Department of Health and Human Services 93.526 - AFFORDABLE CARE ACT (ACA) GRANTS FOR CAPITAL DEVELOPMENT IN HEALTH CENTERS 2010-10-01 2012-09-30 AFFORDABLE CARE ACT - CAPITAL DEVELOPMENT GRANTS
Recipient NORTH FLORIDA MEDICAL CENTERS, INC.
Recipient Name Raw NORTH FLORIDA MEDICAL CENTERS INC
Recipient UEI QNEVEWL5V3R7
Recipient DUNS 070876909
Recipient Address P.O. BOX 12309, TALLAHASSEE, LEON, FLORIDA, 32317-2309, UNITED STATES
Obligated Amount 2752713.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
C81CS13936 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-06-29 2011-06-28 ARRA - CAPITAL IMPROVEMENT PROGRAM
Recipient NORTH FLORIDA MEDICAL CENTERS, INC.
Recipient Name Raw NORTH FLORIDA MEDICAL CENTERS, INC
Recipient UEI QNEVEWL5V3R7
Recipient DUNS 070876909
Recipient Address P.O. BOX 12309, TALLAHASSEE, LEON, FLORIDA, 32317-2309, UNITED STATES
Obligated Amount 811085.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H8BCS12546 Department of Health and Human Services 93.703 - ARRA – GRANTS TO HEALTH CENTER PROGRAMS 2009-03-27 2011-03-26 ARRA - INCREASE SERVICES TO HEALTH CENTERS
Recipient NORTH FLORIDA MEDICAL CENTERS, INC.
Recipient Name Raw NORTH FLORIDA MEDICAL CENTERS, INC
Recipient UEI QNEVEWL5V3R7
Recipient DUNS 070876909
Recipient Address P.O. BOX 12309, TALLAHASSEE, LEON, FLORIDA, 32317-2309, UNITED STATES
Obligated Amount 342156.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page
H80CS00693 Department of Health and Human Services 93.224 - CONSOLIDATED HEALTH CENTERS (COMMUNITY HEALTH CENTERS, MIGRANT HEALTH CENTERS, HEALTH CARE FOR THE HOMELESS, PUBLIC HOUSING PRIMARY CARE, AND SCHOOL BASED HEALTH CENTERS) 2002-04-01 2011-03-31 HEALTH CENTER CLUSTER
Recipient NORTH FLORIDA MEDICAL CENTERS, INC.
Recipient Name Raw NORTH FLORIDA MEDICAL CENTERS INC
Recipient UEI QNEVEWL5V3R7
Recipient DUNS 070876909
Recipient Address P.O. BOX 12309, TALLAHASSEE, LEON, FLORIDA, 32317-2309, UNITED STATES
Obligated Amount 56974344.00
Non-Federal Funding 0.00
Original Subsidy Cost 0.00
Face Value of Direct Loan 0.00
Link View Page

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-1915144 Corporation Unconditional Exemption 2804 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL, 32308-8707 1979-07
In Care of Name % DON PORTERFIELD
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
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)
Deductibility Contributions are deductible.
Foundation Hospital or medical research organization 170(b)(1)(A)(iii)
Tax Period 2024-03
Asset 10,000,000 to 49,999,999
Income 10,000,000 to 49,999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Mar
Asset Amount 26832006
Income Amount 18538518
Form 990 Revenue Amount 18538518
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name NORTH FLORIDA MEDICAL CENTERS INC
EIN 59-1915144
Tax Period 202203
Filing Type E
Return Type 990
File View File
Organization Name NORTH FLORIDA MEDICAL CENTERS INC
EIN 59-1915144
Tax Period 202003
Filing Type E
Return Type 990
File View File
Organization Name NORTH FLORIDA MEDICAL CENTERS INC
EIN 59-1915144
Tax Period 201903
Filing Type E
Return Type 990
File View File
Organization Name NORTH FLORIDA MEDICAL CENTERS INC
EIN 59-1915144
Tax Period 201803
Filing Type E
Return Type 990
File View File
Organization Name NORTH FLORIDA MEDICAL CENTERS INC
EIN 59-1915144
Tax Period 201703
Filing Type E
Return Type 990
File View File
Organization Name NORTH FLORIDA MEDICAL CENTERS INC
EIN 59-1915144
Tax Period 201603
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4155907203 2020-04-27 0491 PPP 2804 REMINGTON GREEN CIR, TALLAHASSEE, FL, 32308-3707
Loan Status Date 2021-02-04
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1549300
Loan Approval Amount (current) 1549300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 39232
Servicing Lender Name Hancock Whitney Bank
Servicing Lender Address 2510 14th St One Hancock Plz, GULFPORT, MS, 39501
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TALLAHASSEE, LEON, FL, 32308-3707
Project Congressional District FL-02
Number of Employees 150
NAICS code 621498
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 39232
Originating Lender Name Hancock Whitney Bank
Originating Lender Address GULFPORT, MS
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1560704.57
Forgiveness Paid Date 2021-01-20

Companies related by officers

COULTHURST BARBARA

YURKE ENTERPRISES, INC. - Inactive
Domestic Profit (2006 - 2008)
STAN'S GRADER SERVICE, INC. - Inactive
Domestic Profit (2004 - 2005)
D D J E ENTERPRISES, INC - Inactive
Domestic Profit (2002 - 2005)
SADLER'S TACK, INC. - Inactive
Domestic Profit (2005 - 2007)
MAYO TRUCK CLINIC, INC. - Inactive
Domestic Profit (2006 - 2021)
HVL RENTALS INC - Inactive
Domestic Profit (2024 - 2024)
JON BIRD ENTERPRISES, INC. - Inactive
Domestic Profit (2005 - 2010)
DUCKSWORTH A/C, LLC - Inactive
Florida Limited Liability Co. (2020 - 2021)
W.C. STUBBS ENTERPRISES, INC. - Inactive
Domestic Profit (2005 - 2021)
LARRY C NEWBERN ENTERPRISES, INC. - Inactive
Domestic Profit (2003 - 2009)

LUNN LANE

OLD FARM ROAD PROPERTY OWNERS' ASSOCIATION, INC. - Active
Domestic Non-Profit (1988 )
OLD FARM ROAD PROPERTY OWNERS' ASSOCIATION, INC. - Active
Domestic Non-Profit (1988 )
NORTH FLORIDA MEDICAL CENTERS FOUNDATION, INC. - Active
Domestic Non-Profit (2023 )
BROOKMEADE PROFESSIONAL PARK CONDOMINIUM OWNERS ASSOCIATION, INC. - Active
Domestic Non-Profit (2006 )
BROOKMEADE PROFESSIONAL PARK CONDOMINIUM OWNERS ASSOCIATION, INC. - Active
Domestic Non-Profit (2006 )

Wiggins Victoria

BROOKMEADE PROFESSIONAL PARK CONDOMINIUM OWNERS ASSOCIATION, INC. - Active
Domestic Non-Profit (2006 )

Companies related by address

2804 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL, 32308, US

NORTH FLORIDA MEDICAL CENTERS FOUNDATION, INC. BROOKMEADE PROFESSIONAL PARK CONDOMINIUM OWNERS ASSOCIATION, INC.

2804 REMINGTON GREEN CIRCLE, TALLAHASSEE, FL, 32308, US

NORTH FLORIDA MEDICAL CENTERS FOUNDATION, INC. BROOKMEADE PROFESSIONAL PARK CONDOMINIUM OWNERS ASSOCIATION, INC.

Date of last update: 02 Mar 2025

Sources: Florida Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 flprofile.com, Part of Big Data Integrated