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JAMES N. EICKHOLZ, M.D., P.S.C.

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Company Details

Name: JAMES N. EICKHOLZ, M.D., P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 31 Jul 1997 (28 years ago)
Organization Date: 31 Jul 1997 (28 years ago)
Last Annual Report: 04 Mar 2024 (a year ago)
Organization Number: 0436555
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42001
City: Paducah
Primary County: McCracken County
Principal Office: 2425 New Holt Rd., PADUCAH, KY 42001
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
JAMES N. EICKHOLZ, M.D. Registered Agent

President

Name Role
James N. Eickholz President

Director

Name Role
James N. Eickholz Director

Shareholder

Name Role
James N. Eickholz Shareholder

Incorporator

Name Role
JAMES N. EICKHOLZ Incorporator

Secretary

Name Role
Kim Eickholz Secretary

Unique Entity ID

Unique Entity ID:
XWBVZQQZXNA5
UEI Expiration Date:
2025-12-19

Business Information

Doing Business As:
BLUEGRASS MEDICAL ASSOCIATES
Activation Date:
2024-12-23
Initial Registration Date:
2024-10-10

National Provider Identifier

NPI Number:
1487687133
Certification Date:
2023-07-18

Authorized Person:

Name:
DR. JAMES NOAH EICKHOLZ
Role:
PHYSICIAN/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2704414666

Form 5500 Series

Employer Identification Number (EIN):
148768713
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
12
Sponsors Telephone Number:

Assumed Names

Name Status Expiration Date
BLUEGRASS MEDICAL ASSOCIATES Active 2026-04-13

Filings

Name File Date
Annual Report 2024-03-04
Amendment 2023-04-28
Annual Report 2023-04-05
Principal Office Address Change 2023-04-05
Annual Report 2022-05-23

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$137,542.13
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$137,542.13
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$138,401.3
Servicing Lender:
Community Financial Services Bank
Use of Proceeds:
Payroll: $137,542.13

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Sources: Kentucky Secretary of State