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MCCREARY PRIMARY CARE CENTER, INC.

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Company Details

Name: MCCREARY PRIMARY CARE CENTER, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 11 Jun 2007 (18 years ago)
Organization Date: 11 Jun 2007 (18 years ago)
Last Annual Report: 13 Mar 2024 (a year ago)
Organization Number: 0666403
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42629
City: Jamestown, Bryan, Creelsboro, Rowena, Sewellton
Primary County: Russell County
Principal Office: 2474 Clifty Creek Rd., Jamestown, KY 42629
Place of Formation: KENTUCKY
Authorized Shares: 1000

President

Name Role
Sabrina Allison President

Registered Agent

Name Role
ESTATE OF KENNETH ALLISON SABRINA ALLISON EXECUTOR Registered Agent

Incorporator

Name Role
KENNETH ALLISON Incorporator

Unique Entity ID

CAGE Code:
5V3H4
UEI Expiration Date:
2015-06-19

Business Information

Activation Date:
2014-06-19
Initial Registration Date:
2010-01-19

Commercial and government entity program

CAGE number:
5V3H4
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-13

Contact Information

POC:
PATTI L. NEWCOMB-WUEST

National Provider Identifier

NPI Number:
1497938583

Authorized Person:

Name:
MR. KENNETH E ALLISON
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6063762205

Filings

Name File Date
Annual Report 2024-03-13
Registered Agent name/address change 2023-04-08
Principal Office Address Change 2023-04-08
Annual Report 2023-04-08
Annual Report 2023-04-08

USAspending Awards / Contracts

Procurement Instrument Identifier:
AG82A7C100069
Award Or Idv Flag:
AWARD
Award Type:
DCA
Action Obligation:
93225.00
Base And Exercised Options Value:
93225.00
Base And All Options Value:
93225.00
Awarding Agency Name:
Department of Agriculture
Performance Start Date:
2010-07-21
Description:
ADD FUNDING ... PHYSICIAN SERVICES AT PINE KNOT JCCC - BASE PERIOD 7/1/10 - 6/30/2011
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q999: OTHER MEDICAL SERVICES

USAspending Awards / Financial Assistance

Date:
2007-11-16
Awarding Agency Name:
Department of Agriculture
Transaction Description:
GUARANTEED BUSINESS & INDUSTRY 2 % LOANS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00

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Sources: Kentucky Secretary of State