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PRIMECARE MEDICINE ASSOCIATES, PLLC

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Company Details

Name: PRIMECARE MEDICINE ASSOCIATES, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 19 Jul 1996 (29 years ago)
Organization Date: 19 Jul 1996 (29 years ago)
Last Annual Report: 01 Jul 2015 (10 years ago)
Managed By: Members
Organization Number: 0419050
ZIP code: 42103
City: Bowling Green
Primary County: Warren County
Principal Office: 990 WILKINSON TRACE, SUITE 100, BOWLING GREEN, KY 42103
Place of Formation: KENTUCKY

Member

Name Role
Joseph R. Allen Member
James O Jarvis Member
Richard D Welch Member
Ashley J Bennett Member
John D. GOVER Member

Organizer

Name Role
LAURA KINCHELOE Organizer

Registered Agent

Name Role
DR. JOHN D. GOVER Registered Agent

National Provider Identifier

NPI Number:
1629151972

Authorized Person:

Name:
DR. JOSEPH R. ALLEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2707814196

Form 5500 Series

Employer Identification Number (EIN):
611066537
Plan Year:
2010
Number Of Participants:
49
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
42
Sponsors Telephone Number:

Former Company Names

Name Action
INTERNAL MEDICINE ASSOCIATES OF BOWLING GREEN, PLLC Old Name

Filings

Name File Date
Dissolution 2016-03-15
Annual Report 2015-07-01
Annual Report 2014-06-25
Annual Report 2013-06-18
Annual Report 2012-05-22

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Sources: Kentucky Secretary of State