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BLUEGRASS CLINIC LIBERTY, PLLC

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Company Details

Name: BLUEGRASS CLINIC LIBERTY, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 09 Mar 2007 (18 years ago)
Organization Date: 09 Mar 2007 (18 years ago)
Last Annual Report: 15 Aug 2024 (10 months ago)
Managed By: Managers
Organization Number: 0659425
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40484
City: Stanford
Primary County: Lincoln County
Principal Office: 256 N Wallace Wilkinson BLVD, SUITE A, STANFORD, KY 40484
Place of Formation: KENTUCKY

Manager

Name Role
James A. Miller, M.D. Manager
Christopher D. Sims Manager
Rodney K. Bates Manager

Organizer

Name Role
NAREN JAMES, M.D. Organizer

Registered Agent

Name Role
JAMES A. MILLER, M.D. Registered Agent

National Provider Identifier

NPI Number:
1457555146
Certification Date:
2023-10-25

Authorized Person:

Name:
DR. JAMES A MILLER
Role:
PROVIDER OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6067870035

Filings

Name File Date
Annual Report 2024-08-15
Dissolution 2024-08-15
Principal Office Address Change 2024-08-15
Annual Report 2023-04-05
Annual Report 2022-03-07

USAspending Awards / Financial Assistance

Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
37900.00
Total Face Value Of Loan:
37900.00

Paycheck Protection Program

Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
37900
Current Approval Amount:
37900
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
38282.16

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Sources: Kentucky Secretary of State