Search icon

NORTHWEST FLORIDA HEALTHCARE, INC. - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: NORTHWEST FLORIDA HEALTHCARE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Sep 2003 (22 years ago)
Last Event: AMENDED AND RESTATED ARTICLES
Event Date Filed: 21 Jul 2015 (10 years ago)
Document Number: P03000104091
FEI/EIN Number 200244662
Address: 1360 BRICKYARD ROAD, CHIPLEY, FL, 32428
Mail Address: 1360 BRICKYARD ROAD, CHIPLEY, FL, 32428
ZIP code: 32428
City: Chipley
County: Washington
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
- Agent -
SMEDRA IRA E President 1360 BRICKYARD ROAD, CHIPLEY, FL, 32428
WINTNER JACOB Secretary 1360 BRICKYARD ROAD, CHIPLEY, FL, 32428
Kozar Michael A Chief Executive Officer 1360 BRICKYARD ROAD, CHIPLEY, FL, 32428
LISENBY STEVEN Chief Financial Officer 1360 BRICKYARD ROAD, CHIPLEY, FL, 32428

National Provider Identifier

NPI Number:
1972311785
Certification Date:
2024-12-26

Authorized Person:

Name:
STEVEN LISENBY
Role:
CHIEF FINANCIAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8506380662

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000000318 VERNON CLINIC ACTIVE 2022-01-03 2027-12-31 - 3250 MAIN ST, VERNON, FL, 32462--222
G22000000309 REGIONAL PEDIATRICS AND NEWBORN CARE ACTIVE 2022-01-03 2027-12-31 - 3031 6TH ST, MARIANNA, FL, 32446--193
G22000000338 CHIPLEY MEDICAL GROUP ACTIVE 2022-01-03 2027-12-31 - 1376 BRICKYARD RD, SUITE 3, CHIPLEY, FL, 32428
G21000134629 NFCH FAMILY PRACTICE ACTIVE 2021-10-06 2026-12-31 - 1376 BRICKYAD ROAD, SUITE 5, CHIPLEY, FL, 32428
G20000023888 BAILEY FAMILY PRACTICE - NORTHWEST FLORIDA COMMUNITY HOSPITAL ACTIVE 2020-02-24 2025-12-31 - 101 E WISCONSIN AVE, BONIFAY, FL, 32425
G19000066301 CAMPBELLTON-GRACEVILLE HOSPITAL ACTIVE 2019-06-10 2029-12-31 - 5429 COLLEGE DRIVE, GRACEVILLE, FL, 32440
G18000049906 FAMILY HEALTHCARE OF CHIPLEY ACTIVE 2018-04-19 2028-12-31 - 1360 BRICKYARD ROAD, CHIPLEY, FL, 32428
G18000049898 GRACEVILLE CLINIC - NORTHWEST FLORIDA COMMUNITY HOSPITAL ACTIVE 2018-04-19 2028-12-31 - 5429 COLLEGE DRIVE, GRACEVILLE, FL, 32440
G11000084881 VERNON CLINIC - NORTHWEST FLORIDA COMMUNITY HOSPITAL EXPIRED 2011-08-26 2016-12-31 - 3250 MAIN STREET, VERNON, FL, 32462
G08266900331 NORTHWEST FLORIDA FAMILY HEALTH CLINIC EXPIRED 2008-09-22 2013-12-31 - PO BOX 889, CHIPLEY, FL, 32428

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-01-17 VCORP SERVICES, LLC -
REGISTERED AGENT ADDRESS CHANGED 2022-01-20 1200 S PINE ISLAND ROAD, PLANTATION, FL 33324 -
AMENDED AND RESTATEDARTICLES 2015-07-21 - -
AMENDED AND RESTATEDARTICLES 2006-09-07 - -
CHANGE OF PRINCIPAL ADDRESS 2005-01-17 1360 BRICKYARD ROAD, CHIPLEY, FL 32428 -
CHANGE OF MAILING ADDRESS 2005-01-17 1360 BRICKYARD ROAD, CHIPLEY, FL 32428 -
ARTICLES OF CORRECT-ION/NAME CHANGE 2003-10-15 NORTHWEST FLORIDA HEALTHCARE, INC. -

Documents

Name Date
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-03-24
ANNUAL REPORT 2022-04-11
ANNUAL REPORT 2021-06-17
ANNUAL REPORT 2020-06-05
ANNUAL REPORT 2019-04-11
ANNUAL REPORT 2018-03-30
ANNUAL REPORT 2017-03-21
ANNUAL REPORT 2016-03-07
Amended and Restated Articles 2015-07-21

USAspending Awards / Financial Assistance

Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
2275900.00
Total Face Value Of Loan:
2275900.00

Paycheck Protection Program

Jobs Reported:
256
Initial Approval Amount:
$2,275,900
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$2,275,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$2,304,270.81
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $2,275,900

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 01 Aug 2025

Sources: Florida Department of State