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KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC.

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Company Details

Name: KENTUCKY MOUNTAIN HEALTH ALLIANCE, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 16 Sep 2004 (21 years ago)
Organization Date: 16 Sep 2004 (21 years ago)
Last Annual Report: 13 Oct 2005 (20 years ago)
Organization Number: 0595071
ZIP code: 41701
City: Hazard, Browns Fork, Typo, Walkertown
Primary County: Perry County
Principal Office: 1710 NORTH MAIN STREET, HAZARD, KY 41701
Place of Formation: KENTUCKY

Director

Name Role
PROMOD BISHNOI Director
GERRY ROLL Director
MITCHELL WICKER, JR., M.D. Director
BARRY MARTIN Director
GERRY F. ROLL Director
ANNIE FOX Director
LINDA BLAIR Director
WENDY MORRIS Director
MICHAEL CHOWNING, OFM Director
DAVID REESE Director

Registered Agent

Name Role
GERRY F. ROLL Registered Agent

President

Name Role
PROMOD BISHNOI President

Vice President

Name Role
BARRY MARTIN Vice President

Secretary

Name Role
ANNIE FOX Secretary

Treasurer

Name Role
GERRY ROLL Treasurer

Incorporator

Name Role
GERRY F. ROLL Incorporator

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
FPZ1WT1GMBY9
CAGE Code:
4G5X3
UEI Expiration Date:
2026-01-30

Business Information

Activation Date:
2025-02-03
Initial Registration Date:
2006-07-03

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:
4G5X3
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-02-03
SAM Expiration:
2026-01-30

Contact Information

POC:
ELLEN VANCE

National Provider Identifier

NPI Number:
1861267007
Certification Date:
2023-11-17

Authorized Person:

Name:
REBECCA CHEEK
Role:
340B COORDINATOR
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2005-10-13
Dissolution 2005-10-13
Articles of Incorporation 2004-09-16

USAspending Awards / Financial Assistance

Date:
2010-09-20
Awarding Agency Name:
Appalachian Regional Commission
Transaction Description:
COMMUNITY FACILITY
Obligated Amount:
32500.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2010-03-31
Awarding Agency Name:
Department of Agriculture
Transaction Description:
COMMUNITY FACILITIES LOANS AND GRANTS - ARRA
Obligated Amount:
0.00
Face Value Of Loan:
345375.00
Total Face Value Of Loan:
345375.00
Date:
2010-03-31
Awarding Agency Name:
Department of Agriculture
Transaction Description:
COMMUNITY FACILITIES LOANS AND GRANTS - ARRA
Obligated Amount:
200000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2009-06-25
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
ARRA - CAPITAL IMPROVEMENT PROGRAM
Obligated Amount:
329625.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2009-09-18
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
ARRA - INCREASE SERVICES TO HEALTH CENTERS
Obligated Amount:
154987.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
61-1355382
In Care Of Name:
% ELLEN NAPIER
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1999-12
National Taxonomy Of Exempt Entities:
Health Care: Ambulatory Health Center, Community Clinic
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Government Spending

Branch Date of Service Fiscal Year Cabinet Department Classification Item Name Amount
Executive 2024-12-20 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 3522
Executive 2024-12-05 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 12037
Executive 2024-08-22 2025 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 30100
Executive 2023-09-15 2024 Health & Family Services Cabinet Department For Public Health Pro Contract (Inc Per Serv) Other Professional Services-1099 Rept 13197

Sources: Kentucky Secretary of State