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COLUMBIA MEDICAL EQUIPMENT, INC.

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Company Details

Name: COLUMBIA MEDICAL EQUIPMENT, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 13 Apr 1989 (36 years ago)
Organization Date: 13 Apr 1989 (36 years ago)
Last Annual Report: 14 Jun 2018 (7 years ago)
Organization Number: 0257254
Principal Office: 2991 CAMPBELLSVILLE ROAD, PO BOX 550, COLUMBIA, KY 427281054
Place of Formation: KENTUCKY
Authorized Shares: 1000

Director

Name Role
DAVID DOWMAN Director
JERRY KNIFLEY Director
BARRY N. FROST Director
BARRY FROST Director

Incorporator

Name Role
DAVID BOWMAN Incorporator
JERRY KNIFLEY Incorporator
BARRY N. FROST Incorporator

Registered Agent

Name Role
SHELDON STEPHENS CPA Registered Agent

President

Name Role
Barry Frost President

Secretary

Name Role
Barry Frost Secretary

Treasurer

Name Role
Jerry Knifley Treasurer

Vice President

Name Role
Jerry Knifley Vice President

National Provider Identifier

NPI Number:
1144473877

Authorized Person:

Name:
MR. BARRY N FROST
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
No
Selected Taxonomy:
332BD1200X - Dialysis Equipment & Supplies (DME)
Is Primary:
No
Selected Taxonomy:
332BN1400X - Nursing Facility Supplies (DME)
Is Primary:
No
Selected Taxonomy:
332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
Is Primary:
No
Selected Taxonomy:
332BX2000X - Oxygen Equipment & Supplies (DME)
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
611157887
Plan Year:
2009
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
29
Sponsors Telephone Number:

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Professional Licensing 169838 Home Medical Equipment and Services Provider Expired 2012-09-12 - - 2018-09-30 258 Burkesville Rd, Albany, KY 42602
Department of Professional Licensing 169841 Home Medical Equipment and Services Provider Expired 2012-09-12 - - 2018-09-30 92 Joe T Petty Dr, Ste 700, Russell Springs, KY 42642
Department of Professional Licensing 169842 Home Medical Equipment and Services Provider Expired 2012-09-12 - - 2013-05-20 216 Poplar Ave, Ste 100, Somerset, KY 42503
Department of Professional Licensing 169840 Home Medical Equipment and Services Provider Expired 2012-09-12 - - 2018-09-30 2991 Campbellsville Road, Columbia, KY 42728
Department of Professional Licensing 169839 Home Medical Equipment and Services Provider Expired 2012-09-12 - - 2018-09-30 111 Wildflower Ln, Ste B, Campbellsville, KY 42718

Filings

Name File Date
Administrative Dissolution 2019-10-16
Annual Report 2018-06-14
Annual Report 2017-06-04
Annual Report 2016-05-31
Annual Report 2015-06-03

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Sources: Kentucky Secretary of State