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SOUTHERN KENTUCKY PRIMARY CARE, P.S.C.

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Company Details

Name: SOUTHERN KENTUCKY PRIMARY CARE, P.S.C.
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 10 Oct 2017 (8 years ago)
Organization Date: 10 Oct 2017 (8 years ago)
Last Annual Report: 16 May 2024 (a year ago)
Organization Number: 0999108
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42276
City: Russellville, Oakville
Primary County: Logan County
Principal Office: 101 W. 2ND ST, 101 W. 2ND ST, RUSSELLVILLE, RUSSELLVILLE, KY 42276
Place of Formation: KENTUCKY
Authorized Shares: 1000

Registered Agent

Name Role
SANJAY CHAVDA, M.D. Registered Agent

President

Name Role
Sanjay M Chavda President

Shareholder

Name Role
Sanjay M Chavda Shareholder
Geeta S Chavda Shareholder

Incorporator

Name Role
SANJAY CHAVDA. M.D. Incorporator
GEETA S CHAVDA, M.D. Incorporator

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
C32UU36CDA37
CAGE Code:
926Q6
UEI Expiration Date:
2022-06-10

Business Information

Activation Date:
2021-06-21
Initial Registration Date:
2021-06-10

National Provider Identifier

NPI Number:
1003327412

Authorized Person:

Name:
LATISHA EDMONDS
Role:
OFFICE ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

Fax:
2708866008
Fax:
2708866600

Filings

Name File Date
Annual Report 2024-05-16
Annual Report 2023-03-20
Annual Report 2022-03-24
Registered Agent name/address change 2021-02-24
Principal Office Address Change 2021-02-24

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
61795.00
Total Face Value Of Loan:
61795.00

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
61795
Current Approval Amount:
61795
Race:
American Indian or Alaska Native
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
62253.81

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Sources: Kentucky Secretary of State