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MOUNTAIN FAMILY PRACTICE CLINIC OF MANCHESTER, INC.

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Company Details

Name: MOUNTAIN FAMILY PRACTICE CLINIC OF MANCHESTER, INC.
Legal type: Kentucky Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 20 Mar 2013 (12 years ago)
Organization Date: 20 Mar 2013 (12 years ago)
Last Annual Report: 27 Jun 2024 (a year ago)
Organization Number: 0853044
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40962
City: Manchester, Bluehole, Bright Shade, Chestnutburg, Er...
Primary County: Clay County
Principal Office: 86 HWY 638, MANCHESTER, KY 40962
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
KIM BREWER COX Registered Agent

President

Name Role
KIM BREWER COX President

Director

Name Role
KIM BREWER COX Director

Incorporator

Name Role
KIM BREWER COX Incorporator

National Provider Identifier

NPI Number:
1689919078
Certification Date:
2025-01-03

Authorized Person:

Name:
KIM B COX
Role:
OWNER/OPERATOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6065960703

Filings

Name File Date
Annual Report 2024-06-27
Annual Report 2023-06-30
Annual Report 2022-06-23
Annual Report 2021-06-23
Annual Report 2020-06-22

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Sources: Kentucky Secretary of State