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SOUTHEAST FAMILY PRACTICE PSC

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Company Details

Name: SOUTHEAST FAMILY PRACTICE PSC
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 10 May 2018 (7 years ago)
Organization Date: 08 Aug 2018 (7 years ago)
Last Annual Report: 20 Mar 2025 (6 months ago)
Organization Number: 1020603
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40977
City: Pineville, Balkan, Callaway, Cary, Chenoa, Clear Cr...
Primary County: Bell County
Principal Office: 222 W Tennessee Avenue, Pineville, KY 40977
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
TRAMPAS NOLAN Registered Agent

Shareholder

Name Role
Trampas Nolan Shareholder
Trampas S Nolan Shareholder

Incorporator

Name Role
Trampas Nolan Incorporator

President

Name Role
Trampas S Nolan President

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
606-654-6220
Contact Person:
TRAMPAS NOLAN
User ID:
P2788010

Unique Entity ID

Unique Entity ID:
LW1EHXJ77L97
CAGE Code:
8L2D9
UEI Expiration Date:
2026-07-25

Business Information

Activation Date:
2025-07-29
Initial Registration Date:
2020-04-19

Commercial and government entity program

CAGE number:
8L2D9
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-07-29
CAGE Expiration:
2030-07-29
SAM Expiration:
2025-10-23

Contact Information

POC:
TRAMPAS S. NOLAN

National Provider Identifier

NPI Number:
1033600416
Certification Date:
2023-12-08

Authorized Person:

Name:
TRAMPAS S NOLAN
Role:
APRN / OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6066546220

Filings

Name File Date
Annual Report 2025-03-20
Registered Agent name/address change 2024-01-10
Principal Office Address Change 2024-01-10
Annual Report 2024-01-10
Annual Report 2023-03-21

USAspending Awards / Financial Assistance

Date:
2021-07-21
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM
Obligated Amount:
49529.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-16
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:
-1457.00
Total Face Value Of Loan:
34308.00
Date:
2020-04-16
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:
-1457.00
Total Face Value Of Loan:
34308.00

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Sources: Kentucky Secretary of State