Public record

CMS Federally Qualified Health Center All Owners

Associate id: 2466345632 · 32 matching records

Enrollment id
O20091016000078
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
0446792972
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-11
First name - owner
PRASHANT
Last name - owner
SHINDE
Title - owner
DIRECTOR/CEO
Enrollment id
O20091016000078
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
2466345632
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-05-12
Organization name - owner
COUNTY OF MONTEREY
Doing business as name - owner
BIENESTAR
Address line 1 - owner
1441 SCHILLING PLACE
Address line 2 - owner
SOUTH BLDG - FIRST FLOOR
City - owner
SALINAS
State - owner
CA
Zip code - owner
939014527
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
GOVERNMENT/FQHC
Enrollment id
O20091016000111
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
2466345632
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1993-07-01
Organization name - owner
COUNTY OF MONTEREY
Doing business as name - owner
BIENESTAR
Address line 1 - owner
168 W ALISAL ST
City - owner
SALINAS
State - owner
CA
Zip code - owner
939012487
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
COUNTY GOVERNMENT
Enrollment id
O20091016000111
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
6002052040
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-01-01
First name - owner
SHENNA
Middle name - owner
R
Last name - owner
MORALES
Title - owner
DIRECTOR CLINIC SERV DIV
Percentage ownership
25
Enrollment id
O20091016000111
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
6002052040
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2013-01-01
First name - owner
SHENNA
Middle name - owner
R
Last name - owner
MORALES
Title - owner
DIRECTOR CLINIC SERV DIV
Percentage ownership
5
Enrollment id
O20091016000111
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
7911947825
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-01-01
First name - owner
JULIA
Last name - owner
EDGCOMB
Title - owner
DIRECTOR CLINIC SERV DIV
Percentage ownership
5
Enrollment id
O20091016000184
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
0446792972
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-05-11
First name - owner
PRASHANT
Last name - owner
SHINDE
Title - owner
CLINIC SERVICES BUREAU CHIEF
Enrollment id
O20091016000184
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
0446792972
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-11
First name - owner
PRASHANT
Last name - owner
SHINDE
Enrollment id
O20091016000184
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
0446792972
Type - owner
I
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2020-05-11
First name - owner
PRASHANT
Last name - owner
SHINDE
Enrollment id
O20091016000184
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
2466345632
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2009-09-10
Organization name - owner
COUNTY OF MONTEREY
Doing business as name - owner
BIENESTAR
Address line 1 - owner
1441 SCHILLING PLACE
Address line 2 - owner
SOUTH BLDG - FIRST FLOOR
City - owner
SALINAS
State - owner
CA
Zip code - owner
939014527
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
GOVERNMENT
Enrollment id
O20091016000243
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
2466345632
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1993-07-01
Organization name - owner
COUNTY OF MONTEREY
Doing business as name - owner
BIENESTAR
Address line 1 - owner
1441 SCHILLING PLACE
Address line 2 - owner
SOUTH BLDG - FIRST FLOOR
City - owner
SALINAS
State - owner
CA
Zip code - owner
939014527
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
COUNTY GOVERNMENT ENTITY
Enrollment id
O20091016000243
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
6002052040
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2013-01-01
First name - owner
SHENNA
Middle name - owner
R
Last name - owner
MORALES
Percentage ownership
5
Enrollment id
O20091016000243
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
7911947825
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-01-01
First name - owner
JULIA
Last name - owner
EDGCOMB
Title - owner
DIRECTOR CLINIC SERV DIV
Percentage ownership
25
Enrollment id
O20091016000283
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
2466345632
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1993-07-01
Organization name - owner
COUNTY OF MONTEREY
Doing business as name - owner
BIENESTAR
Address line 1 - owner
168 W ALISAL ST
City - owner
SALINAS
State - owner
CA
Zip code - owner
939012487
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
COUNTY GOVERNMENT
Enrollment id
O20091016000283
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
6002052040
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2013-01-01
First name - owner
SHENNA
Middle name - owner
R
Last name - owner
MORALES
Title - owner
MANAGING EMPLOYEE
Percentage ownership
5
Enrollment id
O20091016000283
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
7911947825
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2013-01-01
First name - owner
JULIA
Last name - owner
EDGCOMB
Title - owner
DIRECTOR, CLINIC SERVICES DIVISI
Percentage ownership
25
Enrollment id
O20091016000306
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
0446792972
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-11
First name - owner
PRASHANT
Last name - owner
SHINDE
Title - owner
BUREAU CHIEF
Percentage ownership
0
Enrollment id
O20091016000306
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
2466345632
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
1993-07-01
Organization name - owner
COUNTY OF MONTEREY
Doing business as name - owner
BIENESTAR
Address line 1 - owner
1441 SCHILLING PLACE
Address line 2 - owner
SOUTH BLDG - FIRST FLOOR
City - owner
SALINAS
State - owner
CA
Zip code - owner
939014527
Percentage ownership
100
Created for acquisition - owner
N
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
COUNTY GOVERNMENT ENTITY
Enrollment id
O20091016000306
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
6002052040
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2013-01-01
First name - owner
SHENNA
Middle name - owner
R
Last name - owner
MORALES
Percentage ownership
5
Enrollment id
O20141007000659
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
2466345632
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-09-16
Organization name - owner
COUNTY OF MONTEREY
Doing business as name - owner
BIENESTAR
Address line 1 - owner
1441 SCHILLING PLACE
Address line 2 - owner
SOUTH BLDG - FIRST FLOOR
City - owner
SALINAS
State - owner
CA
Zip code - owner
939014527
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
GOVERNMENT
Enrollment id
O20141007000659
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
6002052040
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2014-08-21
First name - owner
SHENNA
Middle name - owner
R
Last name - owner
MORALES
Enrollment id
O20141029002592
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
2466345632
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2013-10-07
Organization name - owner
COUNTY OF MONTEREY
Doing business as name - owner
BIENESTAR
Address line 1 - owner
1441 SCHILLING PLACE
Address line 2 - owner
SOUTH BLDG - FIRST FLOOR
City - owner
SALINAS
State - owner
CA
Zip code - owner
939014527
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
GOVERNMENT
Enrollment id
O20141029002592
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
6002052040
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-01-04
First name - owner
SHENNA
Middle name - owner
R
Last name - owner
MORALES
Title - owner
INTERIM PROJECT DIRECTOR
Percentage ownership
5
Enrollment id
O20141029002592
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
6002052040
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2014-09-30
First name - owner
SHENNA
Middle name - owner
R
Last name - owner
MORALES
Enrollment id
O20150717001322
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
0446792972
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-05-11
First name - owner
PRASHANT
Last name - owner
SHINDE
Enrollment id
O20150717001322
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
0446792972
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-11
First name - owner
PRASHANT
Last name - owner
SHINDE
Enrollment id
O20150717001322
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
2466345632
Type - owner
O
Role code - owner
43
Role text - owner
OPERATIONAL/MANAGERIAL CONTROL
Association date - owner
2015-05-12
Organization name - owner
COUNTY OF MONTEREY
Doing business as name - owner
BIENESTAR
Address line 1 - owner
1441 SCHILLING PLACE
Address line 2 - owner
SOUTH BLDG - FIRST FLOOR
City - owner
SALINAS
State - owner
CA
Zip code - owner
939014527
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
GOVERNMENT/FQHC-LA
Enrollment id
O20200305001776
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
0446792972
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-11
First name - owner
PRASHANT
Last name - owner
SHINDE
Title - owner
DIRECTOR/CEO
Enrollment id
O20200305001776
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
2466345632
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2020-01-02
Organization name - owner
COUNTY OF MONTEREY
Doing business as name - owner
BIENESTAR
Address line 1 - owner
168 W ALISAL ST
City - owner
SALINAS
State - owner
CA
Zip code - owner
93901
Percentage ownership
100
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
N
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
GOVERNMENT ENTITY
Enrollment id
O20240923000823
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
0446792972
Type - owner
I
Role code - owner
41
Role text - owner
CORPORATE DIRECTOR
Association date - owner
2020-05-11
First name - owner
PRASHANT
Last name - owner
SHINDE
Title - owner
CLINIC SERVICES BUREAU CHIEF
Enrollment id
O20240923000823
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
0446792972
Type - owner
I
Role code - owner
42
Role text - owner
W-2 MANAGING EMPLOYEE
Association date - owner
2020-05-11
First name - owner
PRASHANT
Last name - owner
SHINDE
Enrollment id
O20240923000823
Associate id
2466345632
Organization name
COUNTY OF MONTEREY
Associate id - owner
2466345632
Type - owner
O
Role code - owner
34
Role text - owner
5% OR GREATER DIRECT OWNERSHIP INTEREST
Association date - owner
2024-09-01
Organization name - owner
COUNTY OF MONTEREY
Doing business as name - owner
BIENESTAR
Address line 1 - owner
168 W ALISAL ST
City - owner
SALINAS
State - owner
CA
Zip code - owner
93901
Percentage ownership
100
Corporation - owner
N
Llc - owner
N
Medical provider supplier - owner
N
Management services company - owner
N
Medical staffing company - owner
N
Holding company - owner
N
Investment firm - owner
N
Financial institution - owner
N
Consulting firm - owner
N
For profit - owner
N
Non profit - owner
Y
Private equity company - owner
N
Reit - owner
N
Chain home office - owner
N
Other type - owner
Y
Other type text - owner
GOVERNMENT OWNED ENTITIY

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