| Entity Name: | MIDDLESEX HOSPITAL |
| Jurisdiction: | Connecticut |
| Legal type: | Special Chartered |
| Citizenship: | Domestic |
| Status: | Active |
| Date Formed: | 26 Jun 1895 |
| Business ALEI: | 0255463 |
| Place of Formation: | CONNECTICUT |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N8VWF88N4AD7 | 2024-07-24 | 28 CRESCENT ST, MIDDLETOWN, CT, 06457, 3654, USA | 28 CRESCENT STREET, MIDDLETOWN, CT, 06457, 3654, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URL | http://www.middlesexhealth.org |
| Congressional District | 03 |
| State/Country of Incorporation | CT, USA |
| Activation Date | 2023-07-27 |
| Initial Registration Date | 2003-10-24 |
| Entity Start Date | 1895-06-26 |
| Fiscal Year End Close Date | Sep 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SHANNON ST HILAIRE |
| Role | SYSTEM DIRECTOR OF FINANCE |
| Address | 28 CRESCENT ST, MIDDLETOWN, CT, 06457, 3654, USA |
| Title | ALTERNATE POC |
| Name | EVAN JACKSON |
| Address | 28 CRESCENT ST, MIDDLETOWN, CT, 06457, 3654, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | VINCENT CAPECE |
| Role | PRESIDENT/CEO |
| Address | 28 CRESCENT ST, MIDDLETOWN, CT, 06457, 3654, USA |
| Title | ALTERNATE POC |
| Name | EVAN JACKSON |
| Address | 28 CRESCENT ST, MIDDLETOWN, CT, 06457, 3654, USA |
| Past Performance | Information not Available |
|---|
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3KWX4 | Obsolete | Non-Manufacturer | 2003-10-27 | 2024-05-22 | No data | 2025-05-17 | |||||||||||||||
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| POC | VINCENT CAPECE |
| Phone | +1 860-358-6395 |
| Fax | +1 860-358-6992 |
| Address | 28 CRESCENT ST, MIDDLETOWN, CT, 06457 3654, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Business address | Residence address |
|---|---|---|---|
| . | Agent | ., ., CT, United States | ., ., CT, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CSP.0086027-HOSP | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS | PENDING | INSPECTION DUE | No data | No data | No data |
| CSP.0018615 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | INACTIVE | No data | No data | 1997-03-01 | 1998-02-28 |
| CSL.0000625 | CONTROLLED SUBSTANCE LABORATORY | INACTIVE | No data | No data | No data | No data |
| VMA.0000259 | VENDING MACHINE OPERATOR | INACTIVE | EXPIRED MORE THAN 3 YEARS - MUST REAPPLY | No data | 1998-07-01 | 1999-06-30 |
| CHR.0005148-EXEMPT | PUBLIC CHARITY-EXEMPT FROM FINANCIAL REQUIREMENTS | ACTIVE | No data | No data | No data | No data |
| CSP.0076165-HOSP | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS | ACTIVE | CURRENT | 2021-02-19 | 2023-03-01 | 2025-02-28 |
| CSP.0076054-HOSP | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS | ACTIVE | CURRENT | 2021-01-29 | 2023-03-01 | 2025-02-28 |
| CSP.0076055-HOSP | CONTROLLED SUBSTANCE REGISTRATION FOR HOSPITALS | ACTIVE | CURRENT | 2021-01-29 | 2023-03-01 | 2025-02-28 |
| L.0L083P1 | Licensed EMS Organization | ACTIVE | CURRENT | 2014-09-19 | 2024-01-01 | 2024-12-31 |
| GH.0000069 | General Hospital | ACTIVE | CURRENT | 2009-01-01 | 2023-01-01 | 2024-12-31 |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | MIDDLESEX MEMORIAL HOSPITAL | MIDDLESEX HOSPITAL | 1990-12-17 |
| Name change | MIDDLESEX HOSPITAL THE | MIDDLESEX MEMORIAL HOSPITAL | 1953-10-07 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0004287528 | 2010-12-06 | 2010-12-06 | Amendment | Restate | No data |
| 0002077080 | 2000-02-22 | 2000-02-22 | Amendment | Restate | No data |
| 0001695845 | 1997-02-10 | 1997-02-10 | Merger | Certificate of Merger | No data |
| 0000579554 | 1991-02-13 | No data | Amendment | Amend | No data |
| 0000972795 | 1990-12-17 | No data | Amendment | Amend Name | No data |
| 0000579792 | 1987-05-21 | No data | Miscellaneous | Miscellaneous | No data |
| 0000579791 | 1969-01-24 | No data | Miscellaneous | Miscellaneous | No data |
| 0000579790 | 1955-10-24 | No data | Miscellaneous | Miscellaneous | No data |
| 0000579789 | 1953-10-07 | No data | Miscellaneous | Miscellaneous | No data |
| 0000972796 | 1953-10-07 | No data | Amendment | Amend Name | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
