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JACKSON PURCHASE PULMONARY MEDICINE PLLC

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Company Details

Name: JACKSON PURCHASE PULMONARY MEDICINE PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 14 Jul 2008 (17 years ago)
Organization Date: 14 Jul 2008 (17 years ago)
Last Annual Report: 25 Jun 2024 (a year ago)
Managed By: Managers
Organization Number: 0709380
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42066
City: Mayfield
Primary County: Graves County
Principal Office: 1111 MEDICAL CENTER CIRCLE, MAYFIELD, KY 42066
Place of Formation: KENTUCKY

Organizer

Name Role
ROBERTO DOS REMEDIOS Organizer

Registered Agent

Name Role
ROBERTO DOS REMEDIOS Registered Agent

Manager

Name Role
Roberto Dos Remedios Manager

National Provider Identifier

NPI Number:
1992254288

Authorized Person:

Name:
MS. TAMMY D MCCARY
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
8554300335

Form 5500 Series

Employer Identification Number (EIN):
262948840
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
7
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2024-06-25
Annual Report 2023-06-05
Registered Agent name/address change 2022-06-22
Annual Report 2022-06-22
Annual Report 2021-06-30

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Sources: Kentucky Secretary of State