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JAMESTOWN HEALTHCARE CLINIC, LLC

Company Details

Name: JAMESTOWN HEALTHCARE CLINIC, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 03 Aug 2005 (20 years ago)
Organization Date: 03 Aug 2005 (20 years ago)
Last Annual Report: 01 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 0618833
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42629
City: Jamestown, Bryan, Creelsboro, Rowena, Sewellton
Primary County: Russell County
Principal Office: 1417 NORTH MAIN STREET, JAMESTOWN, KY 42629
Place of Formation: KENTUCKY

Member

Name Role
STEPHANIE R JONES Member
JERRY W LAWSON Member

Organizer

Name Role
JERRY LAWSON Organizer

Registered Agent

Name Role
JERRY LAWSON, INC. Registered Agent

National Provider Identifier

NPI Number:
1588989008

Authorized Person:

Name:
JERRY W LAWSON
Role:
OWNER, PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2703432598

Filings

Name File Date
Reinstatement Certificate of Existence 2024-03-01
Reinstatement Approval Letter Revenue 2024-03-01
Reinstatement 2024-03-01
Administrative Dissolution 2022-10-04
Annual Report 2021-02-10

Sources: Kentucky Secretary of State