Search icon

FAMILY HEALTH CENTER OF COLUMBIA COUNTY, INC. - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: FAMILY HEALTH CENTER OF COLUMBIA COUNTY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Inactive
Date Filed: 17 Oct 1980 (45 years ago)
Date of dissolution: 06 Jan 2014 (12 years ago)
Last Event: CORPORATE MERGER
Event Date Filed: 06 Jan 2014 (12 years ago)
Document Number: 754720
FEI/EIN Number 592086283
Address: 173 ALBRITTON LN, LAKE CITY, FL, 32055, US
Mail Address: P O BOX 249, LAKE CITY, FL, 32056-7249
ZIP code: 32055
City: Lake City
County: Columbia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
HERDEGEN BETTY Secretary 245 SE RACHEL WAY, LAKE CITY, FL, 32025
ALBURY PATRICIA A Treasurer 21298 S. US HWY.441, HIGH SPRINGS,, FL, 32346
SCHAAFSMA C. KEITH President 4451 SW 102ND AVE., LAKE BUTLER, FL, 32054
SCHAAFSMA C. KEITH Director 4451 SW 102ND AVE., LAKE BUTLER, FL, 32054
SCHAAFSMA C. KEITH Agent 4451 SW 102ND AVE., LAKE BUTLER, FL, 32054
PATTISON DOROTHY Vice President 576 NW SPRING HOLLOW BLVD, LAKE CITY, FL, 32055

Unique Entity ID

CAGE Code:
35MM5
UEI Expiration Date:
2014-06-03

Business Information

Division Name:
FAMILY HEALTH CENTER OF COLUMBIA COUNTY, INC
Activation Date:
2013-06-05
Initial Registration Date:
2005-01-24

Commercial and government entity program

CAGE number:
35MM5
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2023-09-02

Contact Information

POC:
JOHN T. MYLES

National Provider Identifier

NPI Number:
1962464248

Authorized Person:

Name:
MR. JOHN T MYLES
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No

Contacts:

Fax:
3867529143

Form 5500 Series

Employer Identification Number (EIN):
592086283
Plan Year:
2011
Number Of Participants:
22
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
21
Sponsors Telephone Number:

Events

Event Type Filed Date Value Description
MERGER 2014-01-06 - CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS N24356. MERGER NUMBER 900000137389
REGISTERED AGENT NAME CHANGED 2011-01-24 SCHAAFSMA, C. KEITH -
REGISTERED AGENT ADDRESS CHANGED 2011-01-24 4451 SW 102ND AVE., LAKE BUTLER, FL 32054 -
CHANGE OF PRINCIPAL ADDRESS 2007-04-02 173 ALBRITTON LN, LAKE CITY, FL 32055 -
CHANGE OF MAILING ADDRESS 1992-03-26 173 ALBRITTON LN, LAKE CITY, FL 32055 -
NAME CHANGE AMENDMENT 1986-06-19 FAMILY HEALTH CENTER OF COLUMBIA COUNTY, INC. -

Documents

Name Date
ANNUAL REPORT 2013-02-06
ANNUAL REPORT 2012-02-02
ANNUAL REPORT 2011-01-24
ANNUAL REPORT 2010-05-21
ANNUAL REPORT 2010-01-26
ANNUAL REPORT 2009-02-26
ANNUAL REPORT 2008-03-03
ANNUAL REPORT 2007-04-02
ANNUAL REPORT 2006-03-01
ANNUAL REPORT 2005-04-08

USAspending Awards / Financial Assistance

Date:
2009-06-25
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
ARRA - CAPITAL IMPROVEMENT PROGRAM
Obligated Amount:
402740.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2008-05-18
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HEALTH CENTER CLUSTER
Obligated Amount:
4924499.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 01 Aug 2025

Sources: Florida Department of State