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UFPA CENTER FOR PRIMARY CARE, PLLC

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Company Details

Name: UFPA CENTER FOR PRIMARY CARE, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 27 Oct 2008 (17 years ago)
Organization Date: 27 Oct 2008 (17 years ago)
Last Annual Report: 30 Apr 2012 (13 years ago)
Managed By: Members
Organization Number: 0716436
ZIP code: 40208
City: Louisville
Primary County: Jefferson County
Principal Office: 215 CENTRAL AVENUE, STE 205, LOUISVILLE, KY 40208
Place of Formation: KENTUCKY

Member

Name Role
Renee Girdler Member
James G O'Brien Member

Registered Agent

Name Role
CHAD VAUGHN Registered Agent

Organizer

Name Role
JAMES OBRAY Organizer

National Provider Identifier

NPI Number:
1326292996

Authorized Person:

Name:
DR. JAMES G. O'BRIEN
Role:
PRESIDENT/DEPARTMENT CHAIR
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5002852540

Filings

Name File Date
Administrative Dissolution 2013-09-28
Annual Report 2012-04-30
Reinstatement Certificate of Existence 2011-10-03
Reinstatement 2011-10-03
Reinstatement Approval Letter Revenue 2011-10-03

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Sources: Kentucky Secretary of State