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OWENSBORO PEDIATRICS, PLLC

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Company Details

Name: OWENSBORO PEDIATRICS, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 26 Mar 1996 (29 years ago)
Organization Date: 26 Mar 1996 (29 years ago)
Last Annual Report: 20 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 0413894
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 42303
City: Owensboro
Primary County: Daviess County
Principal Office: 2200 EAST PARRISH, SUITE 101, OWENSBORO, KY 42303
Place of Formation: KENTUCKY

Member

Name Role
Sara Medsker Member
Andrea P Johnston Member
Michael F Yeister Member
Amy H Ray Member
Jeremiah R Mason Member
Lynette K Martin Member

Registered Agent

Name Role
DR. LYNETTE K. MARTIN Registered Agent

Organizer

Name Role
DR. DAVID E. DANHAUER Organizer

National Provider Identifier

NPI Number:
1346045861
Certification Date:
2025-02-18

Authorized Person:

Name:
LOREN ADKINS
Role:
CLINICAL MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2708521600

Form 5500 Series

Employer Identification Number (EIN):
611299446
Plan Year:
2023
Number Of Participants:
57
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
60
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
54
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
56
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
55
Sponsors Telephone Number:

Assumed Names

Name Status Expiration Date
OWENSBORO PEDIATRICS OHIO COUNTY CLINIC Active 2030-02-18

Filings

Name File Date
Certificate of Assumed Name 2025-02-18
Annual Report 2024-03-20
Annual Report 2023-08-10
Annual Report 2022-06-15
Annual Report 2021-06-22

USAspending Awards / Financial Assistance

Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
467606.52
Total Face Value Of Loan:
467606.52

Paycheck Protection Program

Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
467606.52
Current Approval Amount:
467606.52
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
470750.8

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Sources: Kentucky Secretary of State