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PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC

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Company Details

Name: PRIMARY CARE CENTERS OF EASTERN KENTUCKY, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 04 Apr 2003 (22 years ago)
Organization Date: 04 Apr 2003 (22 years ago)
Last Annual Report: 06 Mar 2025 (6 months ago)
Managed By: Members
Organization Number: 0557636
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 41702
City: Hazard
Primary County: Perry County
Principal Office: PO BOX 1988, HAZARD, KY 41702
Place of Formation: KENTUCKY

Member

Name Role
Barry Martin Member

Registered Agent

Name Role
BARRY MARTIN Registered Agent

Organizer

Name Role
LORI M HAYDEN Organizer

Unique Entity ID

Unique Entity ID:
UXBHNNG5LJ25
CAGE Code:
7WMA9
UEI Expiration Date:
2026-03-18

Business Information

Activation Date:
2025-03-20
Initial Registration Date:
2017-06-23

Commercial and government entity program

CAGE number:
7WMA9
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-03-20
SAM Expiration:
2026-03-18

Contact Information

POC:
CHARLA NAPIER

National Provider Identifier

NPI Number:
1366227555
Certification Date:
2023-08-28

Authorized Person:

Name:
RAEDAWNUA JADE STRUNK
Role:
CREDENTIALING
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6064365282
Fax:
6064391400

Form 5500 Series

Employer Identification Number (EIN):
061685195
Plan Year:
2009
Number Of Participants:
113
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2025-03-06
Annual Report 2024-04-05
Annual Report 2023-05-08
Amendment 2022-11-22
Registered Agent name/address change 2022-11-15

USAspending Awards / Financial Assistance

Date:
2021-07-22
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM
Obligated Amount:
198116.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
3021900.00
Total Face Value Of Loan:
3021900.00
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
3021900.00
Total Face Value Of Loan:
3021900.00
Date:
2018-02-08
Awarding Agency Name:
Department of Agriculture
Transaction Description:
TELEMEDICINE GRANT
Obligated Amount:
186645.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2018-02-08
Awarding Agency Name:
Department of Agriculture
Transaction Description:
TELEMEDICINE GRANT
Obligated Amount:
186645.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
250
Initial Approval Amount:
$3,021,900
Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$3,021,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$3,061,971.22
Servicing Lender:
Community Trust Bank, Inc.
Use of Proceeds:
Payroll: $3,021,900

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Sources: Kentucky Secretary of State