Search icon

Tri State Family Medical Center, LLC

Company claim

Is this your business?

Get access!

Company Details

Name: Tri State Family Medical Center, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 16 Apr 2009 (16 years ago)
Organization Date: 16 Apr 2009 (16 years ago)
Last Annual Report: 01 Jun 2016 (9 years ago)
Managed By: Members
Organization Number: 0727934
ZIP code: 41230
City: Louisa, Clifford, Fallsburg, Richardson
Primary County: Lawrence County
Principal Office: 2583 HWY 644 STE 2, Louisa, KY 41230
Place of Formation: KENTUCKY

Organizer

Name Role
alfred baldera Organizer

Registered Agent

Name Role
kevin curtis gauze Registered Agent

Member

Name Role
Alfred Baldera Member
Kevin Gauze Member
Janice Gauze Member

National Provider Identifier

NPI Number:
1194959452

Authorized Person:

Name:
MRS. JANICE GAUZE
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6066383139

Filings

Name File Date
Administrative Dissolution Return 2017-10-30
Administrative Dissolution 2017-10-09
Annual Report 2016-06-01
Annual Report 2015-05-14
Annual Report 2014-06-03

Reviews Leave a review

This company hasn't received any reviews.

Sources: Kentucky Secretary of State