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TAYLOR REGIONAL MEDICAL GROUP, LLC

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Company Details

Name: TAYLOR REGIONAL MEDICAL GROUP, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
File Date: 03 Oct 2005 (20 years ago)
Organization Date: 03 Oct 2005 (20 years ago)
Last Annual Report: 14 Jun 2024 (a year ago)
Managed By: Managers
Organization Number: 0622802
Industry: Health Services
Number of Employees: Large (100+)
ZIP code: 42718
City: Campbellsville, Campbellsvlle, Finley
Primary County: Taylor County
Principal Office: 1700 OLD LEBANON ROAD, CAMPBELLSVILLE, KY 42718
Place of Formation: KENTUCKY

Manager

Name Role
Taylor County Hospital District Health Facilities Corporation Manager

Organizer

Name Role
JANE WHEATLEY Organizer

Registered Agent

Name Role
MIKE EVERETT Registered Agent

National Provider Identifier

NPI Number:
1376374215
Certification Date:
2024-12-18

Authorized Person:

Name:
MR. WILLIAM M SNAPP
Role:
CHIEF FINANCIAL OFFICER ASST
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Licenses

Department License Number License Type / Line of Authority Status Issue Date Effective Date Inactive Date Expiry Date Address
Department of Professional Licensing 245230 Home Medical Equipment and Services Provider Expired 2018-10-16 - - 2022-04-20 100 Medical Park Drive Suite B, Campbellsville, KY 42718

Filings

Name File Date
Annual Report 2024-06-14
Registered Agent name/address change 2023-11-07
Annual Report 2023-05-05
Registered Agent name/address change 2023-05-05
Registered Agent name/address change 2022-05-11

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Sources: Kentucky Secretary of State