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WOMEN'S HEALTH OF WINCHESTER, PSC

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Company Details

Name: WOMEN'S HEALTH OF WINCHESTER, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 13 Feb 2013 (12 years ago)
Organization Date: 13 Feb 2013 (12 years ago)
Last Annual Report: 28 May 2020 (5 years ago)
Organization Number: 0849928
ZIP code: 40391
City: Winchester, Ford
Primary County: Clark County
Principal Office: 225 HOSPITAL DRIVE, SUITE 110, WINCHESTER, KY 40391
Place of Formation: KENTUCKY
Authorized Shares: 1000

President

Name Role
Mark J. Pascuzzi President

Director

Name Role
Mark J. Pascuzzi Director
Andrea Tucker Director

Shareholder

Name Role
Mark J. Pascuzzi Shareholder
Andrea Tucker Shareholder

Incorporator

Name Role
MARK J. PASCUZZI, M.D. Incorporator

Registered Agent

Name Role
MICHAEL C. SLONE Registered Agent

Vice President

Name Role
Andrea Tucker Vice President

National Provider Identifier

NPI Number:
1023207735
Certification Date:
2020-05-04

Authorized Person:

Name:
JOY CLEVENGER
Role:
CREDENTIALING
Phone:

Taxonomy:

Selected Taxonomy:
363LX0001X - Obstetrics & Gynecology Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
367A00000X - Advanced Practice Midwife
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
8597449421

Form 5500 Series

Employer Identification Number (EIN):
462578672
Plan Year:
2020
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
13
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
8
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution 2021-10-19
Annual Report 2020-05-28
Annual Report 2019-04-25
Annual Report 2018-04-19
Annual Report Amendment 2017-04-19

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Sources: Kentucky Secretary of State