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ELKHORN AMBULANCE SERVICE, INC.

Company Details

Name: ELKHORN AMBULANCE SERVICE, INC.
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 15 Jun 2005 (20 years ago)
Organization Date: 15 Jun 2005 (20 years ago)
Last Annual Report: 09 Sep 2010 (15 years ago)
Organization Number: 0615397
ZIP code: 41522
City: Elkhorn City, Draffin, Senterville
Primary County: Pike County
Principal Office: 225 EAST RUSSELL STREET, ELKHORN CITY, KY 41522
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
TERRY THOMPSON Registered Agent

Signature

Name Role
Kathy Stewart Signature
Terry Thompson Signature

President

Name Role
Terry Thompson President

Vice President

Name Role
James Justice Vice President

Secretary

Name Role
Terry Thompson Secretary

Incorporator

Name Role
JAMES JUSTICE Incorporator
ROB LESTER Incorporator
KATHY STEWART Incorporator
TERRY THOMPSON Incorporator

National Provider Identifier

NPI Number:
1497720072

Authorized Person:

Name:
TERRY THOMPSON
Role:
CHIEF
Phone:

Taxonomy:

Selected Taxonomy:
341600000X - Ambulance
Is Primary:
Yes

Contacts:

Fax:
6067545813

Filings

Name File Date
Reinstatement Approval Letter Revenue 2011-12-16
Administrative Dissolution 2011-09-10
Annual Report 2010-09-09
Annual Report 2009-06-30
Annual Report 2008-02-19

Sources: Kentucky Secretary of State