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PRIMARY CARE ASSOCIATES OF SOUTHERN KENTUCKY, PLLC

Company Details

Name: PRIMARY CARE ASSOCIATES OF SOUTHERN KENTUCKY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 11 Sep 1997 (28 years ago)
Organization Date: 11 Sep 1997 (28 years ago)
Last Annual Report: 05 Jul 2017 (8 years ago)
Managed By: Members
Organization Number: 0438488
ZIP code: 42141
City: Glasgow, Lamb
Primary County: Barren County
Principal Office: 120 BROOKDALE DRIVE, GLASGOW, KY 42141
Place of Formation: KENTUCKY

Member

Name Role
I SCOTT GILSON Member
RICHARD CLOUSE Member
WILLIAM J TRAVIS Member

Organizer

Name Role
DERON BIBB Organizer

Registered Agent

Name Role
WILLIAM J. TRAVIS Registered Agent

National Provider Identifier

NPI Number:
1811049281

Authorized Person:

Name:
MS. SANDRA SIMMONS
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2706513182

Form 5500 Series

Employer Identification Number (EIN):
611315566
Plan Year:
2011
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
34
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
33
Sponsors Telephone Number:

Assumed Names

Name Status Expiration Date
GLASGOW PRIMARY CARE Inactive 2011-01-29

Filings

Name File Date
Dissolution 2018-04-10
Annual Report 2017-07-05
Annual Report 2016-08-25
Annual Report 2015-06-30
Annual Report 2014-04-30

Sources: Kentucky Secretary of State