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WILLIAMSBURG FAMILY MEDICINE CENTER, P.S.C.

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Company Details

Name: WILLIAMSBURG FAMILY MEDICINE CENTER, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 15 Mar 1996 (29 years ago)
Organization Date: 15 Mar 1996 (29 years ago)
Last Annual Report: 05 Feb 2025 (4 months ago)
Organization Number: 0413395
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40769
City: Williamsburg, Cumberland College, Cumberlnd Clg, Nevis...
Primary County: Whitley County
Principal Office: 475 NORTH HWY 25 W, SUITE 100, PO BOX 390, WILLIAMSBURG, KY 40769
Place of Formation: KENTUCKY
Authorized Shares: 2000

President

Name Role
DARRYL WILKENS, M.D. President

Registered Agent

Name Role
DARRYL J. WILKENS M.D. Registered Agent

Shareholder

Name Role
Gregory C. Wilkens, M.D. Shareholder
Todd H. Wilkens, M.D. Shareholder
Darryl J. Wilkens, M.D. Shareholder

Executive

Name Role
Stephen Boone Executive

Director

Name Role
Darryl J. Wilkens, M.D. Director

Incorporator

Name Role
CHARLES H. WILKENS, M.D. Incorporator

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
WCN4TT4JS1L6
CAGE Code:
4FD85
UEI Expiration Date:
2022-07-16

Business Information

Doing Business As:
(AFF: JELLICO COMMUNITY HOSPITAL )
Activation Date:
2021-07-21
Initial Registration Date:
2006-06-09

Assumed Names

Name Status Expiration Date
RURAL HEALTH CLINIC Inactive 2008-07-15

Filings

Name File Date
Annual Report 2025-02-05
Annual Report 2024-01-16
Annual Report 2023-01-27
Annual Report 2022-03-28
Registered Agent name/address change 2022-03-28

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Sources: Kentucky Secretary of State