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ADVANCED FAMILY MEDICAL CLINIC MOUNT VERNON, LLC

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Company Details

Name: ADVANCED FAMILY MEDICAL CLINIC MOUNT VERNON, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 15 May 2017 (8 years ago)
Organization Date: 15 May 2017 (8 years ago)
Last Annual Report: 15 Feb 2025 (4 months ago)
Managed By: Members
Organization Number: 0985563
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42501
City: Somerset, Acorn, Alcalde, Elihu, Poplarville, Publ...
Primary County: Pulaski County
Principal Office: 79 SARAH'S LANE, SOMERSET, KY 42501
Place of Formation: KENTUCKY

Registered Agent

Name Role
KHURSHEED SIDDIQUI Registered Agent

Member

Name Role
Sheba M Siddiqui Member
Khursheed A Siddiqui Member

Organizer

Name Role
KHURSHEED SIDDIQUI Organizer
SHEBA SIDDIQUI Organizer

National Provider Identifier

NPI Number:
1578090403
Certification Date:
2023-04-20

Authorized Person:

Name:
DR. KHURSHEED AKRAM SIDDIQUI
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
6066551030

Filings

Name File Date
Annual Report 2025-02-15
Annual Report 2024-03-08
Registered Agent name/address change 2023-03-20
Principal Office Address Change 2023-03-20
Annual Report 2023-03-20

USAspending Awards / Financial Assistance

Date:
2020-06-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
124900.00
Total Face Value Of Loan:
124900.00
Date:
2020-05-03
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:
111800.00
Total Face Value Of Loan:
111800.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
111800
Current Approval Amount:
111800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
113051.54

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Sources: Kentucky Secretary of State