Search icon

CORBIN PEDIATRIC ASSOCIATES, P.S.C.

Company claim

Is this your business?

Get access!

Company Details

Name: CORBIN PEDIATRIC ASSOCIATES, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 01 Mar 1979 (46 years ago)
Organization Date: 01 Mar 1979 (46 years ago)
Last Annual Report: 12 Mar 2024 (a year ago)
Organization Number: 0116065
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40701
City: Corbin, Keavy, Woodbine
Primary County: Whitley County
Principal Office: 186 Whirlaway Trail, 186 Whirlaway Trail, CORBIN, KY 40701
Place of Formation: KENTUCKY
Authorized Shares: 1000

President

Name Role
Christina Butler President

Shareholder

Name Role
CHRISTINA BUTLER Shareholder

Director

Name Role
WILLIAM D. HACKER, M.D. Director
CARMEL WALLACE, M.D. Director
ROSS HALBLEIB, M.D. Director

Incorporator

Name Role
WILLIAM D. HACKER, M.D. Incorporator

Registered Agent

Name Role
CHRISTINA BUTLER Registered Agent

National Provider Identifier

NPI Number:
1609960830

Authorized Person:

Name:
VERNON MITCHELL MAY
Role:
MANAGING PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
163W00000X - Registered Nurse
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6065288423

Assumed Names

Name Status Expiration Date
MANCHESTER PEDIATRIC ASSOCIATES, P.S.C. Inactive 2014-07-26
BARBOURVILLE PEDIATRIC ASSOCIATES, P.S.C. Inactive 2014-07-26
WILLIAMSBURG PEDIATRIC ASSOCIATES, P.S.C. Inactive 2014-07-26
LONDON PEDIATRIC ASSOCIATES, P.S.C. Inactive 2009-07-26

Filings

Name File Date
Dissolution 2024-03-19
Registered Agent name/address change 2024-03-12
Annual Report 2024-03-12
Principal Office Address Change 2024-03-12
Annual Report 2023-03-15

Paycheck Protection Program

Jobs Reported:
27
Initial Approval Amount:
$187,650.92
Date Approved:
2021-03-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$187,650.92
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$188,615.24
Servicing Lender:
Cumberland Valley National Bank & Trust Company
Use of Proceeds:
Payroll: $187,650.92
Jobs Reported:
27
Initial Approval Amount:
$300,500
Date Approved:
2020-04-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$300,500
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$302,895.65
Servicing Lender:
Cumberland Valley National Bank & Trust Company
Use of Proceeds:
Payroll: $225,375
Utilities: $6,000
Mortgage Interest: $8,000
Healthcare: $61125

Reviews Leave a review

This company hasn't received any reviews.

Sources: Kentucky Secretary of State