| Name: | WILLIAMSBURG FAMILY MEDICINE CENTER, P.S.C. |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Professional Services Corp |
| Status: | Active |
| Standing: | Good |
| File Date: | 15 Mar 1996 (29 years ago) |
| Organization Date: | 15 Mar 1996 (29 years ago) |
| Last Annual Report: | 16 Jan 2024 (a year ago) |
| Organization Number: | 0413395 |
| Industry: | Health Services |
| Number of Employees: | Medium (20-99) |
| ZIP code: | 40769 |
| Primary County: | Whitley |
| Principal Office: | 475 NORTH HWY 25 W, SUITE 100, PO BOX 390, WILLIAMSBURG, KY 40769 |
| Place of Formation: | KENTUCKY |
| Authorized Shares: | 2000 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| WCN4TT4JS1L6 | 2022-07-16 | 475 N HIGHWAY 25 W STE 100, WILLIAMSBURG, KY, 40769, 1576, USA | PO BOX 390, WILLIAMSBURG, KY, 40769, 1576, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | (AFF: JELLICO COMMUNITY HOSPITAL ) |
| Congressional District | 05 |
| State/Country of Incorporation | KY, USA |
| Activation Date | 2021-07-21 |
| Initial Registration Date | 2006-06-09 |
| Entity Start Date | 1995-01-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | STEPHEN BOONE |
| Role | CEO |
| Address | 475 HIGHWAY 25W NORTH, WILLIAMSBURG, KY, 40769, 1576, USA |
| Title | ALTERNATE POC |
| Name | ELSIE CRAWFORD |
| Address | 475 HIGHWAY 25W NORTH, SUITE 100, WILLIAMSBURG, KY, 40769, 1576, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | STEPHEN BOONE |
| Role | CEO |
| Address | 475 HIGHWAY 25W NORTH, WILLIAMSBURG, KY, 40769, 1576, USA |
| Title | ALTERNATE POC |
| Name | ELSIE CRAWFORD |
| Address | 475 HIGHWAY 25W NORTH, SUITE 100, WILLIAMSBURG, KY, 40769, 1576, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | STEPHEN BOONE |
| Address | 475 HIGHWAY 25W NORTH, SUITE 100, WILLIAMSBURG, KY, 40769, 1576, USA |
| Title | ALTERNATE POC |
| Name | ELSIE CRAWFORD |
| Address | 475 HIGHWAY 25W NORTH, SUITE 100, WILLIAMSBURG, KY, 40769, 1576, USA |
| Name | Role |
|---|---|
| DARRYL J. WILKENS M.D. | Registered Agent |
| Name | Role |
|---|---|
| DARRYL WILKENS, M.D. | President |
| Name | Role |
|---|---|
| Stephen Boone | Executive |
| Name | Role |
|---|---|
| Darryl J. Wilkens, M.D. | Director |
| Name | Role |
|---|---|
| Todd H. Wilkens, M.D. | Shareholder |
| Darryl J. Wilkens, M.D. | Shareholder |
| Gregory C. Wilkens, M.D. | Shareholder |
| Name | Role |
|---|---|
| CHARLES H. WILKENS, M.D. | Incorporator |
| Name | Status | Expiration Date |
|---|---|---|
| RURAL HEALTH CLINIC | Inactive | 2008-07-15 |
| Name | File Date |
|---|---|
| Annual Report | 2024-01-16 |
| Annual Report | 2023-01-27 |
| Registered Agent name/address change | 2022-03-28 |
| Annual Report | 2022-03-28 |
| Annual Report | 2021-02-10 |
| Annual Report | 2020-03-09 |
| Principal Office Address Change | 2019-08-07 |
| Annual Report | 2019-08-07 |
| Annual Report Return | 2019-08-06 |
| Annual Report | 2018-04-09 |
Date of last update: 30 Jan 2025
Sources: Kentucky Secretary of State
