| Entity Name: | ST. JOHNS RIVER RURAL HEALTH NETWORK, 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: | 06 Jun 1994 (31 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 19 Oct 2006 (18 years ago) |
| Document Number: | N94000002799 |
| FEI/EIN Number |
593246566
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 4201 Baymeadows Road, Jacksonville, FL, 32217, US |
| Address: | C/O SJR Rural Health Network, Inc., 110 N 11th Street, Palatka, FL, 32177, US |
| ZIP code: | 32177 |
| County: | Putnam |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215064126 | 2007-02-27 | 2008-04-30 | 644 CESERY BLVD, SUITE 210, JACKSONVILLE, FL, 322117165, US | 644 CESERY BLVD, SUITE 210, JACKSONVILLE, FL, 322117116, US | |||||||||||||||||||||
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| Phone | +1 904-723-2162 |
| Fax | 9047232170 |
Authorized person
| Name | MS. LORI ANN BILELLO |
| Role | ADMINISTRATOR |
| Phone | 9047232162 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 914321100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Pagel Laureen Dr. | Chairman | 4201 Baymeadows Road, Jacksonville, FL, 32217 |
| Kazounis Carol | Othe | 4201 Baymeadows Road, Jacksonville, FL, 32217 |
| Andrews Annie | Treasurer | 4201 Baymeadows Road, Jacksonville, FL, 32217 |
| Bechtel Stephanie Dr. | Othe | 4201 Baymeadows Road, Jacksonville, FL, 32217 |
| Bischoff Patricia | Othe | 4201 Baymeadows Road, Jacksonville, FL, 32217 |
| Moreles Jose | Othe | 4201 Baymeadows Road, Jacksonville, FL, 32217 |
| HEALTH PLANNING COUNCIL OF NE FL, INC | Agent | 4201 Baymeadows Road, Jacksonville, FL, 32217 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-07 | C/O SJR Rural Health Network, Inc., 110 N 11th Street, Palatka, FL 32177 | - |
| REGISTERED AGENT NAME CHANGED | 2018-03-07 | HEALTH PLANNING COUNCIL OF NE FL, INC | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-17 | 4201 Baymeadows Road, Suite 2, Jacksonville, FL 32217 | - |
| CHANGE OF MAILING ADDRESS | 2017-04-17 | C/O SJR Rural Health Network, Inc., 110 N 11th Street, Palatka, FL 32177 | - |
| CANCEL ADM DISS/REV | 2006-10-19 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2006-09-15 | - | - |
| REINSTATEMENT | 2001-11-08 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2001-09-21 | - | - |
| AMENDMENT | 1999-05-13 | - | - |
| RESTATED ARTICLES | 1996-04-22 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-02-24 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-04-17 |
| ANNUAL REPORT | 2016-04-06 |
| AMENDED ANNUAL REPORT | 2015-07-15 |
| FAIN | Awarding Agency | Assistance Listings | Start Date | End Date | Description | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| P04CS22797 | 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) | 2011-09-01 | 2012-08-31 | AFFORDABLE CARE ACT- HEALTH CENTER PLANNING GRANTS | |||||||||||||||||||||
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Date of last update: 03 Apr 2025
Sources: Florida Department of State
