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MARCUM & WALLACE MEMORIAL HOSPITAL, INC..

Company Details

Name: MARCUM & WALLACE MEMORIAL HOSPITAL, INC..
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 30 Sep 1977 (48 years ago)
Organization Date: 30 Sep 1977 (48 years ago)
Last Annual Report: 28 Apr 2016 (9 years ago)
Managed By: Members
Organization Number: 0145774
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 40336
City: Irvine, Cobhill, Crystal, Jinks, Pryse, West Irv...
Primary County: Estill County
Principal Office: 60 MERCY CT, IRVINE, KY 40336
Place of Formation: KENTUCKY

Director

Name Role
MR. BEN CORNELISON Director
MICHAEL HARDY Director
SR. PATRICIA RICE Director
FRANK KINCAID Director
DARRELL BILLING Director
JANICE BUSH Director
SISTER M. DENISE GOUGH, Director
FRANCIS GREEN MILLER Director
SISTER NANCY KORDENBROCK Director
SISTER M. ANDREA COLLOPY Director

Incorporator

Name Role
FRANCIS GREEN MILLER Incorporator
BEN CORNELISON Incorporator
SISTER NANCY KORDENBROCK Incorporator
SISTER M. ANDREA COLLOPY Incorporator
SISTER M. DENISE GOUGH, Incorporator

Treasurer

Name Role
STEPHEN JACKSON Treasurer

Registered Agent

Name Role
SUSAN L. STARLING Registered Agent

Secretary

Name Role
STEPHEN JACKSON Secretary

Signature

Name Role
ANN K MILLER Signature
CURTIS DAVIS Signature

President

Name Role
RODNEY DAVIS President

Vice President

Name Role
CURTIS DAVIS Vice President

National Provider Identifier

NPI Number:
1033661749

Authorized Person:

Name:
SCOTT SPILLE
Role:
SYSTEM DIRECTOR, RETAIL PHARMACY
Phone:

Taxonomy:

Selected Taxonomy:
3336C0002X - Clinic Pharmacy
Is Primary:
No
Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
Yes

Contacts:

Fax:
6067232951

Form 5500 Series

Employer Identification Number (EIN):
610927491
Plan Year:
2015
Number Of Participants:
114
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
105
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
188
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
188
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
111
Sponsors Telephone Number:

Former Company Names

Name Action
MARCUM & WALLACE MEMORIAL HOSPITAL, INC.. Type Conversion
MARCUM AND WALLACE MEMORIAL HOSPITAL, INC. Old Name
ESTILL COUNTY HOSPITAL, INC. Old Name

Assumed Names

Name Status Expiration Date
MERCY HEALTH-MARCUM & WALLACE HOSPITAL AUXILIARY Active 2029-07-26
MERCY HEALTH - MARCUM AND WALLACE HOSPITAL Active 2028-05-18
MERCY HEALTH - MARCUM AND WALLACE SURGERY Active 2028-05-18
HARNESS HEALTH PHARMACY #220 Active 2027-11-01
MARCUM & WALLACE MEMORIAL HOSPITAL, INC. Active 2027-01-01

Filings

Name File Date
Certificate of Assumed Name 2024-07-26
Annual Report 2024-05-15
Name Renewal 2023-05-08
Name Renewal 2023-05-08
Annual Report 2023-03-08

Financial Incentive

Program Program Status Average Hourly Wage Project Cost Incentive Amount Initial Jobs New Jobs Date of Action Approval Type
GIA/BSSC Inactive 15.00 $57,400 $28,700 102 1 2022-02-02 Final

Sources: Kentucky Secretary of State