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MONTICELLO MEDICAL ASSOCIATES, INC.

Company Details

Name: MONTICELLO MEDICAL ASSOCIATES, INC.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 11 Jun 1976 (49 years ago)
Organization Date: 11 Jun 1976 (49 years ago)
Last Annual Report: 05 Aug 2024 (10 months ago)
Organization Number: 0070947
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42633
City: Monticello, Barrier, Bethesda, Betsey, Coopersville,...
Primary County: Wayne County
Principal Office: SOUTH CREEK MEDICAL CENTER, ONE SOUTH CREEK DR., STE 102, MONTICELLO, KY 42633
Place of Formation: KENTUCKY

Director

Name Role
JAMES K. PHILLIPS JR. Director
RONALD M. MCFARLAND Director
GORDON GERMAIN Director
JEANIE UPCHURCH Director
BARBARA TURPIN Director
SHERRY BARNES Director
LEON ALLEN Director
BRENDA PRYOR Director
JOYCE OWENS Director
DIANE SUTTON Director

Incorporator

Name Role
JAMES K. PHILLIPS JR. Incorporator
GERALD R. PRATT Incorporator
RONALD M. MCFARLAND Incorporator

Registered Agent

Name Role
ROBERT A. PARMELEE Registered Agent

CEO

Name Role
Robert Parmelee CEO

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
MKCKHCU9EXP6
CAGE Code:
84BU0
UEI Expiration Date:
2026-04-03

Business Information

Division Name:
MONTICELLO MEDICAL ASSOCIATES, INC.
Activation Date:
2025-04-04
Initial Registration Date:
2018-06-11

National Provider Identifier

NPI Number:
1063007672
Certification Date:
2024-10-24

Authorized Person:

Name:
ROBERT PARMELEE
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
610901605
Plan Year:
2023
Number Of Participants:
70
Sponsors Telephone Number:

Former Company Names

Name Action
PHILLIPS, PRATT AND MCFARLAND, P. S. C. Old Name

Assumed Names

Name Status Expiration Date
MONTICELLO MEDICAL PHARMACY Active 2029-01-08
MONTICELLO MEDICAL ASSOCIATES Inactive 2025-02-19

Filings

Name File Date
Annual Report 2024-08-05
Certificate of Assumed Name 2024-01-08
Annual Report 2023-05-05
Registered Agent name/address change 2023-01-10
Amendment 2023-01-04

USAspending Awards / Financial Assistance

Date:
2024-08-22
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RYAN WHITE TITLE III HIV CAPACITY DEVELOPMENT AND PLANNING GRANTS
Obligated Amount:
539.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-08-29
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 BRIDGE ACCESS PROGRAM
Obligated Amount:
10790.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-05-18
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 EXPANDING COVID-19 VACCINATION
Obligated Amount:
150093.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-07-09
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
AMERICAN RESCUE PLAN ACT FUNDING FOR LOOK-ALIKES
Obligated Amount:
565500.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
61-0901605
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2020-06
National Taxonomy Of Exempt Entities:
Health Care: Health Treatment Facilities, Primarily Outpatient
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Sources: Kentucky Secretary of State