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THE WOMEN'S PAVILION, P.S.C.

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Company Details

Name: THE WOMEN'S PAVILION, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 14 Oct 1997 (28 years ago)
Organization Date: 14 Oct 1997 (28 years ago)
Last Annual Report: 13 Apr 2022 (3 years ago)
Organization Number: 0439996
ZIP code: 42303
City: Owensboro
Primary County: Daviess County
Principal Office: 2200 E PARRISH AVENUE, STE 201B, OWENSBORO, KY 42303
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
ANDREA B. MOORE, M.D. Registered Agent

President

Name Role
Andrea B Moore President

Secretary

Name Role
Angela M Dawson Secretary

Shareholder

Name Role
Andrea B Moore Shareholder
Dawson M Angela Shareholder

Incorporator

Name Role
J. MICHAEL BAIRD, M.D. Incorporator
JACK C. BLACKSTONE, JR., Incorporator
CATHARINE B. SCHMITT, M. Incorporator
W. NEIL PADGETT, M.D. Incorporator

National Provider Identifier

NPI Number:
1750475596

Authorized Person:

Name:
MRS. ANNETTE F HAGAN
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
2709262114

Form 5500 Series

Employer Identification Number (EIN):
311572237
Plan Year:
2023
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
26
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
30
Sponsors Telephone Number:

Filings

Name File Date
Dissolution 2023-01-10
Annual Report 2022-04-13
Annual Report 2021-05-19
Annual Report 2020-02-12
Annual Report 2019-04-26

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Sources: Kentucky Secretary of State