Entity Name: | BERT FISH MEDICAL CENTER, 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: | 13 Mar 1995 (30 years ago) |
Last Event: | AMENDED AND RESTATED ARTICLES |
Event Date Filed: | 28 Jun 2011 (14 years ago) |
Document Number: | N95000001178 |
FEI/EIN Number |
593306983
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 909 Carey Drive, South Daytona, FL, 32119, US |
Mail Address: | PO BOX 909, NEW SMYRNA BEACH, FL, 32170, US |
ZIP code: | 32119 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1245275734 | 2006-06-18 | 2015-05-15 | 401 PALMETTO ST, P.O. BOX 1350, NEW SMYRNA BEACH, FL, 321687322, US | 401 PALMETTO ST, NEW SMYRNA BEACH, FL, 321687322, US | |||||||||||||||||||||||
|
Phone | +1 386-424-5000 |
Authorized person
Name | MR. AL ALLRED |
Role | CFO |
Phone | 3864245261 |
Taxonomy
Taxonomy Code | 282N00000X - General Acute Care Hospital |
License Number | 4054 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 010183400 |
State | FL |
LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
549300KH311MT8TXEY22 | N95000001178 | US-FL | GENERAL | ACTIVE | - | |||||||||||||||||||
|
Legal | C/O Steve Harrell, 401 Palmetto Street, New Smyrna Beach, US-FL, US, 32168 |
Headquarters | 401 Palmetto Street, New Smyrna Beach, US-FL, US, 32168 |
Registration details
Registration Date | 2013-03-22 |
Last Update | 2023-08-04 |
Status | LAPSED |
Next Renewal | 2015-03-07 |
LEI Issuer | 5493001KJTIIGC8Y1R12 |
Corroboration Level | FULLY_CORROBORATED |
Data Validated As | N95000001178 |
Name | Role | Address |
---|---|---|
Card Harold | Secretary | 3019 WILLOW OAK DRIVE, EDGEWATER, FL, 32141 |
PRESTON WILLIAM | Chairman | 605 SOUTH ORANGE STREET, NEW SMYRNA BEACH, FL, 32168 |
DAVIDSON JEFF | Chief Financial Officer | 305 MAGNOLIA STREET, NEW SMYRNA BEACH, FL, 32168 |
DAVIDSON JEFF | Agent | 909 Carey Drive, South Daytona, FL, 32119 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G15000011910 | BFMC COMMUNITY HEALTH CENTER | EXPIRED | 2015-02-03 | 2020-12-31 | - | 401 PALMETTO STREET, NEW SMYRNA BEACH, FL, 32168 |
G11000050281 | BERT FISH EDGEWATER IMAGING AND DIAGNOSTIC CENTER | EXPIRED | 2011-05-27 | 2016-12-31 | - | 239 N. RIDGEWOOD AVENUE, EDGEWATER, FL, 32132 |
G11000048975 | BERT FISH MEDICAL CENTER | ACTIVE | 2011-05-24 | 2026-12-31 | - | PO BOX 909, NEW SMYRNA BEACH, FL, 32170, US |
G08042900615 | CORONADO RHEUMATOLOGY CARE | EXPIRED | 2008-02-11 | 2013-12-31 | - | 401 PALMETTO STREET, NEW SMYRNA BEACH, FL, 32168 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT ADDRESS CHANGED | 2021-03-12 | 909 Carey Drive, South Daytona, FL 32119 | - |
CHANGE OF PRINCIPAL ADDRESS | 2021-03-12 | 909 Carey Drive, South Daytona, FL 32119 | - |
REGISTERED AGENT NAME CHANGED | 2017-10-19 | DAVIDSON, JEFF | - |
CHANGE OF MAILING ADDRESS | 2016-08-30 | 909 Carey Drive, South Daytona, FL 32119 | - |
AMENDED AND RESTATEDARTICLES | 2011-06-28 | - | - |
MERGER | 2010-07-01 | - | CORPORATION WAS A MERGER RESULT. TOTAL NUMBER OF QUALIFIED CORPORATION(S) INVOLVED WAS 1. MERGER NUMBER 900000106039 |
RESTATED ARTICLES | 2010-07-01 | - | - |
AMENDMENT | 1995-06-30 | - | - |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-05 |
ANNUAL REPORT | 2023-01-30 |
ANNUAL REPORT | 2022-03-08 |
ANNUAL REPORT | 2021-03-12 |
ANNUAL REPORT | 2020-05-19 |
ANNUAL REPORT | 2019-03-27 |
ANNUAL REPORT | 2018-01-15 |
Reg. Agent Change | 2017-10-19 |
Reg. Agent Change | 2017-07-28 |
ANNUAL REPORT | 2017-01-10 |
Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
341027373 | 0419700 | 2015-10-30 | 401 PALMETTO STREET, NEW SMYRNA, FL, 32168 | |||||||||||||||||||||
|
Type | Complaint |
Activity Nr | 1027576 |
Safety | Yes |
Health | Yes |
Inspection Type | Complaint |
Scope | Partial |
Safety/Health | Health |
Close Conference | 2014-04-25 |
Case Closed | 2014-07-11 |
Related Activity
Type | Complaint |
Activity Nr | 881215 |
Health | Yes |
EIN | Type of Organization | Exempt Organization Status | Address | Ruling Date | |||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
59-3306983 | Corporation | Unconditional Exemption | PO BOX 909, NEW SMYRNA, FL, 32170-0909 | 1995-10 | |||||||||||||||||||||||||||||||||||||||||||
|
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) |
Date of last update: 02 Apr 2025
Sources: Florida Department of State