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HOLMES COUNTY HOSPITAL CORPORATION - Florida Company Profile

Company Details

Entity Name: HOLMES COUNTY HOSPITAL CORPORATION
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: 27 Apr 1992 (33 years ago)
Last Event: AMENDMENT
Event Date Filed: 30 Nov 2004 (20 years ago)
Document Number: N48565
FEI/EIN Number 596031176

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 2600 HOSPITAL DRIVE, BONIFAY, FL, 32425
Mail Address: PO BOX 188, BONIFAY, FL, 32425
ZIP code: 32425
County: Holmes
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1548856693 2020-12-14 2020-12-14 2600 HOSPITAL DR, BONIFAY, FL, 324254264, US 1424 US HIGHWAY 331 S, DEFUNIAK SPRINGS, FL, 324353401, US

Contacts

Phone +1 850-547-8029
Fax 8505478025
Phone +1 850-547-8118

Authorized person

Name TRACEY LONG
Role ADMINISTRATIVE ASSISTANT
Phone 8505478003

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Key Officers & Management

Name Role Address
Goodman Jennie Vice President 1510 Jenkins Road, BONIFAY, FL, 32425
Brooks Cynthia Boar 2126 Highway 173, Bonifay, FL, 32425
Dixon Jerry Sr. Boar 3754 Highway 2, Bonifay, FL, 32425
BAKER JOANN Agent 2600 HOSPITAL DRIVE, BONIFAY, FL, 32425

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000075817 DOCTORS MEMORIAL HOSPITAL ACTIVE 2022-06-23 2027-12-31 - 2600 HOSPITAL DRIVE, BONIFAY, FL, 32425
G20000157472 DEFUNIAK SPRINGS HEALTH CLINIC ACTIVE 2020-12-11 2025-12-31 - P.O. BOX 188, BONIFAY, FL, 32425
G20000128404 DOCTORS MEMORIAL HEALTH CLINIC ACTIVE 2020-10-02 2025-12-31 - P.O. BOX 188, BONIFAY, FL, 32425
G20000120162 BONIFAY RURAL HEALTH CLINIC ACTIVE 2020-09-15 2025-12-31 - 2910 HOSPITAL DRIVE, P.O. BOX 188, BONIFAY, FL, 32425
G16000092495 DOCTORS MEDICAL CLINIC EXPIRED 2016-08-25 2021-12-31 - P.O. BOX 188, 2910 HOSPITAL DRIVE, BONIFAY, FL, 32425

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-08-10 BAKER, JOANN -
REGISTERED AGENT ADDRESS CHANGED 2021-08-10 2600 HOSPITAL DRIVE, BONIFAY, FL 32425 -
CHANGE OF PRINCIPAL ADDRESS 2008-03-24 2600 HOSPITAL DRIVE, BONIFAY, FL 32425 -
CHANGE OF MAILING ADDRESS 2006-07-18 2600 HOSPITAL DRIVE, BONIFAY, FL 32425 -
AMENDMENT 2004-11-30 - -
EVENT CONVERTED TO NOTES 1992-04-27 - -

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-07-12
ANNUAL REPORT 2022-04-11
Reg. Agent Change 2021-08-10
ANNUAL REPORT 2021-07-28
ANNUAL REPORT 2020-01-29
ANNUAL REPORT 2019-01-28
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-01-09
ANNUAL REPORT 2016-01-20

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2612837203 2020-04-16 0491 PPP 2600 Hospital Drive,, Bonifay, FL, 32425-4264
Loan Status Date 2020-12-16
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1117100
Loan Approval Amount (current) 1117100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 2408
Servicing Lender Name Regions Bank
Servicing Lender Address 1900 Fifth Avenue North, BIRMINGHAM, AL, 35203
Rural or Urban Indicator R
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Bonifay, HOLMES, FL, 32425-4264
Project Congressional District FL-02
Number of Employees 120
NAICS code 622110
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Non-Profit Organization
Originating Lender ID 2408
Originating Lender Name Regions Bank
Originating Lender Address BIRMINGHAM, AL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1123129.28
Forgiveness Paid Date 2020-11-12

Date of last update: 02 Apr 2025

Sources: Florida Department of State