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SCOTTSVILLE PRIMARY CARE CLINIC, PLLC

Company Details

Name: SCOTTSVILLE PRIMARY CARE CLINIC, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 16 Jun 2003 (22 years ago)
Organization Date: 16 Jun 2003 (22 years ago)
Last Annual Report: 05 Feb 2013 (12 years ago)
Managed By: Members
Organization Number: 0562084
ZIP code: 42164
City: Scottsville, Halfway
Primary County: Allen County
Principal Office: 217 WEST MAIN STREET, SCOTTSVILLE, KY 42164
Place of Formation: KENTUCKY

Registered Agent

Name Role
LARRY STOVALL Registered Agent

Manager

Name Role
Linda D Stovall Manager

Organizer

Name Role
LARRY STOVALL Organizer

National Provider Identifier

NPI Number:
1043399249

Authorized Person:

Name:
MRS. KIM DUKE
Role:
PATIENT REGISTRATION
Phone:

Taxonomy:

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

Contacts:

Fax:
2702399356

Form 5500 Series

Employer Identification Number (EIN):
900088742
Plan Year:
2011
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
11
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution 2014-09-30
Annual Report 2013-02-05
Annual Report 2012-06-27
Annual Report 2011-02-15
Annual Report 2010-04-12

Sources: Kentucky Secretary of State