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OUR LADY OF BELLEFONTE HOSPITAL, LLC

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Company Details

Name: OUR LADY OF BELLEFONTE HOSPITAL, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 02 Nov 1999 (26 years ago)
Organization Date: 02 Nov 1999 (26 years ago)
Last Annual Report: 25 Feb 2025 (5 months ago)
Managed By: Managers
Organization Number: 0482832
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: BON SECOURS MERCY HEALTH, 4600 McAuley Place, CINCINNATI, OH 45242
Place of Formation: KENTUCKY

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Manager

Name Role
Jason Asic Manager
Laura H Martin Manager
Travis cRUM Manager

Director

Name Role
JAMES S. ADAMS Director
ROBERT J. ARRELL Director
ROBERT J. MAHER Director
JOHN R. MCGINNIS Director
ANGELINE DVORAK Director
JAMES GARTHEE, JR. Director
SISTER KAREN HARTMAN Director
SISTER ROSE MARIE JASINSKI Director
SARA B. KLEIN Director
TIMOTHY C. MOSHER Director

Incorporator

Name Role
MATHEW R. KLEIN, JR. Incorporator

Organizer

Name Role
MICHAEL MCQUEARY Organizer

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
3TQF2
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-13
CAGE Expiration:
2024-06-24

Contact Information

POC:
LESLIE ALEXANDER

National Provider Identifier

NPI Number:
1396173308

Authorized Person:

Name:
TROY CONNETT
Role:
DIRECTOR OF FINANCE
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Professional Licensing 174182 Home Medical Equipment and Services Provider Expired 2017-08-18 - - 2019-09-30 118 St. Christopher Dr., Ashland, KY 41101

Former Company Names

Name Action
BS-OLBH, INC. Old Name
OUR LADY OF BELLEFONTE HOSPITAL, INC. Merger

Assumed Names

Name Status Expiration Date
SPORTS MEDICINE CENTER Inactive -
THE BELLEFONTE CENTER FOR LUNG DISEASES Inactive -
OUR LADY OF BELLEFONTE HOSPITAL IRONTON IMAGING CENTER Inactive 2019-05-28
BELLEFONTE WOMEN'S CENTER Inactive 2018-06-23
BELLEFONTE PEDIATRICS Inactive 2018-01-14

Filings

Name File Date
Principal Office Address Change 2025-02-25
Annual Report 2025-02-25
Annual Report 2024-03-05
Annual Report 2023-03-17
Registered Agent name/address change 2022-08-29

OSHA's Inspections within Industry

Inspection Summary

Date:
1987-03-16
Type:
Planned
Address:
ST. CHRISTOPHER DR., RUSSELL, KY, 41169
Safety Health:
Safety
Scope:
NoInspection

Inspection Summary

Date:
1987-03-05
Type:
Planned
Address:
ST. CHRISTOPHER DR., RUSSELL, KY, 41169
Safety Health:
Safety
Scope:
NoInspection

Inspection Summary

Date:
1985-09-13
Type:
Planned
Address:
ST. CHRISTOPHER DR., RUSSELL, KY, 41169
Safety Health:
Safety
Scope:
NoInspection

Inspection Summary

Date:
1985-07-23
Type:
Planned
Address:
ST. CHRISTOPHER DR., RUSSELL, KY, 41169
Safety Health:
Safety
Scope:
NoInspection

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Sources: Kentucky Secretary of State