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BENTON HEALTH CARE, LLC

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Company Details

Name: BENTON HEALTH CARE, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 31 Jul 2006 (19 years ago)
Organization Date: 31 Jul 2006 (19 years ago)
Last Annual Report: 16 Sep 2016 (9 years ago)
Managed By: Members
Organization Number: 0643947
ZIP code: 42025
City: Benton
Primary County: Marshall County
Principal Office: 40 CARRIAGE LANE, BENTON, KY 42025
Place of Formation: KENTUCKY

Member

Name Role
Willard Jason Fiessinger Member

Organizer

Name Role
JASON FIESSINGER Organizer
CHRISTY WORTHAM Organizer

Registered Agent

Name Role
JASON FIESSINGER Registered Agent

National Provider Identifier

NPI Number:
1023111929

Authorized Person:

Name:
MR. JASON FIESSINGER
Role:
FAMILY NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2707440834
Fax:
2705273901

Filings

Name File Date
Dissolution 2016-09-19
Annual Report 2016-09-16
Principal Office Address Change 2015-06-22
Annual Report 2015-06-22
Registered Agent name/address change 2015-06-22

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Sources: Kentucky Secretary of State