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CLARK EMERGENCY PHYSICIANS, PLLC.

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Company Details

Name: CLARK EMERGENCY PHYSICIANS, PLLC.
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 10 Dec 2016 (9 years ago)
Organization Date: 01 Jan 2017 (9 years ago)
Last Annual Report: 05 Mar 2025 (5 months ago)
Managed By: Members
Organization Number: 0970255
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40392
City: Winchester
Primary County: Clark County
Principal Office: PO BOX 120 , WINCHESTER, KY 40392
Place of Formation: KENTUCKY

Registered Agent

Name Role
JESSE DEAN Registered Agent
Patrick Downs Registered Agent

Organizer

Name Role
Patrick Downs Organizer

Member

Name Role
Jesse Dean Member
Bruce Kostelnik Member
Matthew Lally Member

National Provider Identifier

NPI Number:
1346781499
Certification Date:
2023-08-03

Authorized Person:

Name:
JESSE DEAN
Role:
MEMBER MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8599010015
Fax:
8597376601

Form 5500 Series

Employer Identification Number (EIN):
814712442
Plan Year:
2024
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
13
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2025-03-05
Annual Report Amendment 2024-09-25
Registered Agent name/address change 2024-05-17
Principal Office Address Change 2024-05-17
Annual Report 2024-05-17

USAspending Awards / Financial Assistance

Date:
2020-04-07
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:
76400.00
Total Face Value Of Loan:
76400.00

Paycheck Protection Program

Jobs Reported:
11
Initial Approval Amount:
$76,400
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$76,400
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$76,960.27
Servicing Lender:
Central Bank & Trust Co.
Use of Proceeds:
Payroll: $76,400

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Sources: Kentucky Secretary of State