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Community First Injury Care, Inc.

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Company Details

Name: Community First Injury Care, Inc.
Legal type: Foreign Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 03 Dec 2017 (8 years ago)
Organization Date: 15 Sep 2017 (8 years ago)
Authority Date: 03 Dec 2017 (8 years ago)
Last Annual Report: 15 Aug 2019 (6 years ago)
Organization Number: 1003836
ZIP code: 40223
City: Louisville, Anchorage, Blue Rdg Mnr, Blue Ridge Mano...
Primary County: Jefferson County
Principal Office: 13806 Lake Point Cir Unit 101, Louisville, KY 40223
Place of Formation: OHIO

Treasurer

Name Role
Curtis Shain Treasurer

Director

Name Role
Curtis Shain Director

President

Name Role
Clint Cornell President

Secretary

Name Role
Curtis Shain Secretary

Vice President

Name Role
Alan Bee Vice President

Registered Agent

Name Role
KY SECRETARY OF STATE Registered Agent
David Stone Registered Agent

Authorized Rep

Name Role
David Stone Authorized Rep

Officer

Name Role
David Stone Officer

Accountant

Name Role
John Stephenson Accountant

Organizer

Name Role
David Stone Organizer

National Provider Identifier

NPI Number:
1700386919

Authorized Person:

Name:
WAVY CURTIS SHAIN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QX0100X - Occupational Medicine Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Name File Date
Revocation Return 2020-12-16
Revocation of Certificate of Authority 2020-10-08
Sixty Day Notice Return 2019-10-18
Annual Report 2019-08-15
Annual Report Return 2018-07-30

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Sources: Kentucky Secretary of State