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COMMONWEALTH HEALTH FREE CLINIC, INC.

Company Details

Name: COMMONWEALTH HEALTH FREE CLINIC, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 15 Nov 1995 (30 years ago)
Organization Date: 15 Nov 1995 (30 years ago)
Last Annual Report: 21 Jun 2024 (a year ago)
Organization Number: 0407937
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42101
City: Bowling Green, Hadley, Plum Springs, Richardsville
Primary County: Warren County
Principal Office: 800 PARK STREET, BOWLING GREEN, KY 42101
Place of Formation: KENTUCKY

Officer

Name Role
Katrina Wood Officer
Michele Lawless Officer
Wade Stone Officer
David Gray Officer

Director

Name Role
Michael Hubbard Director
Josh Phillips Director
David Gray Director
Cathy Bishop Director
Mark Yurchisin Director
Jackie Pope Tarrence Director
ROBERT HOVIOUS Director
JOHN BLACKBURN, M.D. Director
JOE NATCHER Director
JEAN CHERRY Director

President

Name Role
Connie Smith President

Incorporator

Name Role
JEAN CHERRY Incorporator

Registered Agent

Name Role
TAMMY MEADE ENSSLIN Registered Agent

National Provider Identifier

NPI Number:
1295104800

Authorized Person:

Name:
MR. RONALD G SOWELL
Role:
EXECUTIVE VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2707826461

Assumed Names

Name Status Expiration Date
COMMUNITY CLINIC Active 2029-12-06
THE COMMUNITY CLINIC Active 2026-01-13
THE DENTAL CLINIC Inactive 2014-04-15

Filings

Name File Date
Registered Agent name/address change 2025-04-04
Registered Agent name/address change 2024-12-09
Assumed Name renewal 2024-12-06
Annual Report 2024-06-21
Name Renewal 2023-12-27

Tax Exempt

Employer Identification Number (EIN) :
61-1292739
In Care Of Name:
% JENNY GREENWELL
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., 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:
2000-10
National Taxonomy Of Exempt Entities:
Health Care: Public Health Program (Includes General Health and Wellness Promotion Services)
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Sources: Kentucky Secretary of State