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PINELAKE PHYSICIAN PRACTICE, LLC

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Company Details

Name: PINELAKE PHYSICIAN PRACTICE, LLC
Legal type: Foreign Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 29 Dec 1998 (26 years ago)
Authority Date: 29 Dec 1998 (26 years ago)
Last Annual Report: 27 Jun 2024 (a year ago)
Organization Number: 0466844
Industry: Health Services
Number of Employees: Large (100+)
Principal Office: 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027
Place of Formation: DELAWARE

Organizer

Name Role
JOHN M FRANCK II Organizer

Manager

Name Role
Lifepoint of Kentucky, LLC Manager

Registered Agent

Name Role
C T CORPORATION SYSTEM Registered Agent

National Provider Identifier

NPI Number:
1841900347
Certification Date:
2022-11-21

Authorized Person:

Name:
CHARLOTTE LAWRENCE
Role:
ASSISTANT CORPORATE SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Assumed Names

Name Status Expiration Date
JACKSON PURCHASE PRIMARY CARE-WEST KY HEALTH Active 2030-04-15
JACKSON PURCHASE NEUROSURGERY Active 2030-01-13
JACKSON PURCHASE MEDICAL GROUP Active 2029-12-22
JACKSON PURCHASE PRIMARY CARE HUSSAIN CLINIC Active 2029-08-07
JACKSON PURCHASE PAIN MANAGEMENT Active 2029-05-17

Filings

Name File Date
Certificate of Assumed Name 2025-04-15
Certificate of Assumed Name 2025-01-13
Name Renewal 2024-12-04
Name Renewal 2024-07-15
Annual Report 2024-06-27

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Sources: Kentucky Secretary of State