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INDUSTRIAL WELLNESS SERVICES OF KENTUCKY PLLC

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Company Details

Name: INDUSTRIAL WELLNESS SERVICES OF KENTUCKY PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 09 Feb 2010 (15 years ago)
Organization Date: 09 Feb 2010 (15 years ago)
Last Annual Report: 25 Jan 2024 (a year ago)
Managed By: Members
Organization Number: 0756221
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42653
City: Whitley City
Primary County: McCreary County
Principal Office: PO BOX 41, WHITLEY CITY, KY 42653
Place of Formation: KENTUCKY

Organizer

Name Role
PAIGE D. HAMLIN Organizer
DUSTIN HAMLIN Organizer

Registered Agent

Name Role
DUSTIN HAMLIN Registered Agent

Member

Name Role
Dustin C Hamlin Member

U.S. Small Business Administration Profile

The U.S. Small Business Administration (SBA) helps Americans start, grow, and build resilient businesses.

Note: SBA was created in 1953 as an independent agency of the federal government to aid, counsel, assist and protect the interests of small business concerns; preserve free competitive enterprise; and maintain and strengthen the overall economy of our nation. SBA reviews Congressional and testifies on behalf of small businesses. It assesses the impact of regulatory burden on small businesses.

Phone Number:
E-mail Address:
Fax Number:
606-376-9356
Contact Person:
AMBER BIRNEY
User ID:
P1939358

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
M1SMFA3NM6G8
CAGE Code:
7DMR3
UEI Expiration Date:
2025-08-29

Business Information

Activation Date:
2024-09-02
Initial Registration Date:
2015-05-22

National Provider Identifier

NPI Number:
1851618607
Certification Date:
2025-03-21

Authorized Person:

Name:
MR. DUSTIN HAMLIN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QC1800X - Corporate Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6063769356

Assumed Names

Name Status Expiration Date
APPALACHIAN FAMILY CARE Inactive 2019-08-12

Filings

Name File Date
Annual Report 2024-01-25
Annual Report 2023-03-16
Registered Agent name/address change 2022-12-16
Annual Report 2022-03-07
Annual Report 2021-04-16

USAspending Awards / Contracts

Procurement Instrument Identifier:
1282A721C0016
Award Or Idv Flag:
AWARD
Award Type:
DEFINITIVE CONTRACT
Action Obligation:
100800.00
Base And Exercised Options Value:
100800.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Agriculture
Performance Start Date:
2020-12-23
Description:
MEDICAL SERVICES; PINE KNOT JOB CORPS, PINE KNOT, KY; EXERCISE OPTION YEAR FOUR (4)
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q201: MEDICAL- MANAGED HEALTHCARE
Procurement Instrument Identifier:
AG82A7C160009
Award Or Idv Flag:
AWARD
Award Type:
DEFINITIVE CONTRACT
Action Obligation:
62400.00
Base And Exercised Options Value:
62400.00
Base And All Options Value:
360000.00
Awarding Agency Name:
Department of Agriculture
Performance Start Date:
2015-11-25
Description:
IGF::CT::IGF - MEDICAL SERVICES; PINE KNOT JOB CORPS CENTER, PINE KNOT, KY
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q509: MEDICAL- INTERNAL MEDICINE
Procurement Instrument Identifier:
AG531NP150061
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
9875.00
Base And Exercised Options Value:
9875.00
Base And All Options Value:
9875.00
Awarding Agency Name:
Department of Agriculture
Performance Start Date:
2015-09-29
Description:
MEDICAL SERVICES PURCHASE ORDER 9/1 - 11/30/2015 IGF::CL::IGF
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q526: MEDICAL- MEDICAL/PSYCHIATRIC CONSULTATION

USAspending Awards / Financial Assistance

Date:
2021-08-12
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM
Obligated Amount:
49529.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Sources: Kentucky Secretary of State