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PRESTONSBURG PRIMARY CARE, PLLC

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Company Details

Name: PRESTONSBURG PRIMARY CARE, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 01 Jul 2011 (14 years ago)
Organization Date: 01 Jul 2011 (14 years ago)
Last Annual Report: 29 Sep 2022 (3 years ago)
Managed By: Members
Organization Number: 0794973
ZIP code: 41653
City: Prestonsburg, Emma, Endicott, Hippo
Primary County: Floyd County
Principal Office: 535 NORTH LAKE DRIVE, PRESTONSBURG, KY 41653
Place of Formation: KENTUCKY

Member

Name Role
MICHAEL D. GOBLE Member

Organizer

Name Role
BLAKE R. BURCHETT Organizer

Registered Agent

Name Role
MICHAEL D GOBLE Registered Agent

National Provider Identifier

NPI Number:
1942554068

Authorized Person:

Name:
DR. BLAKE R BURCHETT
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6068860250

Assumed Names

Name Status Expiration Date
PRESTONSBURG PRIMARY CARE Inactive 2021-07-15
BLAKE R. BURCHETT, M.D. Inactive 2016-07-15

Filings

Name File Date
Administrative Dissolution 2023-10-04
Annual Report 2022-09-29
Annual Report 2021-08-23
Reinstatement 2021-02-25
Reinstatement Certificate of Existence 2021-02-25

USAspending Awards / Financial Assistance

Date:
2020-04-11
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
71900.00
Total Face Value Of Loan:
71900.00
Date:
2016-07-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
110000.00
Total Face Value Of Loan:
110000.00

Paycheck Protection Program

Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
71900
Current Approval Amount:
71900
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
72756.89

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Sources: Kentucky Secretary of State