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MAXCARE MEDICAL SERVICES, PLLC

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Company Details

Name: MAXCARE MEDICAL SERVICES, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 06 Jan 2006 (19 years ago)
Organization Date: 06 Jan 2006 (19 years ago)
Last Annual Report: 31 May 2013 (12 years ago)
Managed By: Members
Organization Number: 0629055
ZIP code: 40065
City: Shelbyville
Primary County: Shelby County
Principal Office: 101 STONECREST ROAD, SUITE 1, SHELBYVILLE, KY 40065
Place of Formation: KENTUCKY

Member

Name Role
Steven Wayne Smith Member
Ronald Edward Creque Member
Paul Allen Goodlett Member

Organizer

Name Role
RONALD E. CREQUE, JR. MD Organizer
PAUL A. GOODLETT, MD Organizer

Registered Agent

Name Role
STEVEN W. SMITH, MD Registered Agent

National Provider Identifier

NPI Number:
1417968025

Authorized Person:

Name:
STEVE WAYNE SMITH
Role:
HEAD OF STAFF PHYSICIANS
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5026333833

Form 5500 Series

Employer Identification Number (EIN):
204128095
Plan Year:
2013
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
16
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution 2014-09-30
Annual Report 2013-05-31
Annual Report 2012-03-21
Annual Report 2011-03-28
Annual Report 2010-03-08

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Sources: Kentucky Secretary of State