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PHYSICIANS FOR FAMILIES, P.S.C.

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Company Details

Name: PHYSICIANS FOR FAMILIES, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 01 Nov 1976 (49 years ago)
Organization Date: 01 Nov 1976 (49 years ago)
Last Annual Report: 05 May 2016 (9 years ago)
Organization Number: 0150013
ZIP code: 40484
City: Stanford
Primary County: Lincoln County
Principal Office: 126 PORTMAN AVE., STANFORD, KY 40484
Place of Formation: KENTUCKY
Authorized Shares: 2000

President

Name Role
C Glen Click President

Director

Name Role
CHARLES CRASE, M.D. Director
ROD BATES, M.D. Director
C. GLENN CLICK, M.D. Director
C Glen Click Director

Incorporator

Name Role
CHARLES CRASE, M.D. Incorporator
ROD BATES, M.D. Incorporator
C. GLEN CLICK, M.D. Incorporator

Registered Agent

Name Role
C. GLEN CLICK, M.D. Registered Agent

Shareholder

Name Role
C Glen Click Shareholder

National Provider Identifier

NPI Number:
1346323383

Authorized Person:

Name:
MRS. KAREN CLICK
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6063659183

Former Company Names

Name Action
FORT LOGAN CLINIC, P.S.C. Old Name
BATES, CLICK AND CRASE, P.S.C. Old Name

Filings

Name File Date
Administrative Dissolution Return 2017-10-31
Administrative Dissolution 2017-10-09
Sixty Day Notice Return 2017-09-13
Annual Report 2016-05-05
Annual Report 2015-04-18

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Sources: Kentucky Secretary of State