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CROSSROADS TREATMENT CENTER OF SOMERSET, PSC

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Company Details

Name: CROSSROADS TREATMENT CENTER OF SOMERSET, PSC
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 12 May 2017 (8 years ago)
Organization Date: 12 May 2017 (8 years ago)
Last Annual Report: 13 Jun 2024 (a year ago)
Organization Number: 0985404
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42503
City: Somerset
Primary County: Pulaski County
Principal Office: 607 CLIFTY ST., SOMERSET, KY 42503
Place of Formation: KENTUCKY
Authorized Shares: 100

Director

Name Role
Rupert James McCormac Director

Shareholder

Name Role
Rupert James McCormac Shareholder

Incorporator

Name Role
RUBERT J MCCORMAC IV, MD. Incorporator

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

President

Name Role
Rupert James McCormac President

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
MEGGAN BUSHEE
User ID:
P2973372

Unique Entity ID

Unique Entity ID:
PTMEZGXYGH33
CAGE Code:
9HZ05
UEI Expiration Date:
2026-05-05

Business Information

Activation Date:
2025-05-08
Initial Registration Date:
2023-03-09

Commercial and government entity program

CAGE number:
9HZ05
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-08
SAM Expiration:
2026-05-05

Contact Information

POC:
MEGGAN BUSHEE

National Provider Identifier

NPI Number:
1417452798
Certification Date:
2024-08-13

Authorized Person:

Name:
RUPERT MCCORMAC
Role:
CHIEF EXECUTIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QM2800X - Methadone Clinic
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8645588411
Fax:
6064854733

Filings

Name File Date
Annual Report 2024-06-13
Annual Report 2023-05-19
Annual Report 2022-05-18
Annual Report 2021-05-24
Annual Report 2020-06-16

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Sources: Kentucky Secretary of State