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CRESTVIEW HILLS SURGERY CENTER, PLLC

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Company Details

Name: CRESTVIEW HILLS SURGERY CENTER, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 23 Nov 2010 (15 years ago)
Organization Date: 23 Nov 2010 (15 years ago)
Last Annual Report: 30 Aug 2024 (9 months ago)
Managed By: Members
Organization Number: 0776107
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41017
City: Ft Mitchell, Bromley, Covington, Crescent Park, Cresc...
Primary County: Kenton County
Principal Office: 210 THOMAS MORE PARKWAY, CRESTVIEW HILLS, KY 41017
Place of Formation: KENTUCKY

Organizer

Name Role
Michael Fletcher Organizer

Registered Agent

Name Role
KENDALL E. HANSEN Registered Agent

Member

Name Role
Kendall E Hansen Member

National Provider Identifier

NPI Number:
1003369216
Certification Date:
2022-04-21

Authorized Person:

Name:
KENDALL E. HANSEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8593316555

Form 5500 Series

Employer Identification Number (EIN):
273003180
Plan Year:
2018
Number Of Participants:
1
Sponsors DBA Name:
INTEGRATED PAIN MANAGEMENT OF KY
Sponsors Telephone Number:

Former Company Names

Name Action
EDGEWOOD SURGERY CENTER, PLLC Old Name
Michael Fletcher, MD, PLLC Old Name

Assumed Names

Name Status Expiration Date
ICAN - INTEGRATED CHEMICAL ADDICTION NETWORK Inactive 2021-06-30

Filings

Name File Date
Annual Report 2024-08-30
Annual Report 2023-08-01
Annual Report 2022-05-16
Annual Report 2021-05-24
Annual Report 2020-07-22

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Sources: Kentucky Secretary of State