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NORTH FORK VALLEY COMMUNITY HEALTH BOARD, INC.

Company Details

Name: NORTH FORK VALLEY COMMUNITY HEALTH BOARD, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 02 Dec 2004 (21 years ago)
Organization Date: 02 Dec 2004 (21 years ago)
Last Annual Report: 17 Feb 2025 (4 months ago)
Organization Number: 0600199
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 41701
City: Hazard, Browns Fork, Typo, Walkertown
Primary County: Perry County
Principal Office: 750 MORTON BLVD, RM - B110, HAZARD, KY 41701
Place of Formation: KENTUCKY

Registered Agent

Name Role
Darryl Parker Registered Agent

President

Name Role
Darryl Parker President

Vice President

Name Role
Don Porter Vice President

Treasurer

Name Role
Ralph Hoskins Treasurer

Secretary

Name Role
Ralph Hoskins Secretary

Director

Name Role
Karen Alfano Director
Benny Hamilton Director
Richard Martin Director
Don Porter Director
Ralph Hoskins Director
Josh Mullins Director
Darryl Parker Director
Carla Seals Director
Mike Ware Director
JANICE COMBS Director

Incorporator

Name Role
JANICE COMBS Incorporator

National Provider Identifier

NPI Number:
1164594511

Authorized Person:

Name:
DR. JOE EAGLE KINGERY
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
207QA0000X - Adolescent Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
No
Selected Taxonomy:
207QG0300X - Geriatric Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207QS0010X - Sports Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2025-02-17
Principal Office Address Change 2025-02-17
Registered Agent name/address change 2025-02-17
Annual Report 2024-03-14
Reinstatement 2023-11-17

Tax Exempt

Employer Identification Number (EIN) :
77-0651881
In Care Of Name:
% JANICE COMBS
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:
2008-09
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Sources: Kentucky Secretary of State