Search icon

Madison Primary Care LLC

Company claim

Is this your business?

Get access!

Company Details

Name: Madison Primary Care LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 02 May 2011 (14 years ago)
Organization Date: 02 May 2011 (14 years ago)
Last Annual Report: 01 Jul 2024 (a year ago)
Managed By: Managers
Organization Number: 0790668
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40513
City: Lexington
Primary County: Fayette County
Principal Office: 1031 WELLINGTON WAY, SUITE 245, LEXINGTON, KY 40513
Place of Formation: KENTUCKY

Organizer

Name Role
Foster Ockerman Jr Organizer

Registered Agent

Name Role
SANDRA WILFONG Registered Agent

Manager

Name Role
Sandra Wilfong Manager

National Provider Identifier

NPI Number:
1730473745
Certification Date:
2021-09-02

Authorized Person:

Name:
BRITTANY UNDERWOOD
Role:
CREDENTIALING
Phone:

Taxonomy:

Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8596260741

Filings

Name File Date
Annual Report 2024-07-01
Annual Report 2023-06-30
Registered Agent name/address change 2023-06-30
Agent Resignation 2023-04-18
Annual Report Amendment 2022-07-02

Reviews Leave a review

This company hasn't received any reviews.

Sources: Kentucky Secretary of State