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BLUEGRASS FAMILY WALK-IN CLINIC, LLC

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Company Details

Name: BLUEGRASS FAMILY WALK-IN CLINIC, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 14 Aug 2018 (7 years ago)
Organization Date: 14 Aug 2018 (7 years ago)
Last Annual Report: 07 Mar 2022 (3 years ago)
Managed By: Members
Organization Number: 1029903
ZIP code: 41501
City: Pikeville, Broad Bottom, Gulnare, Mccombs, Meta, Ne...
Primary County: Pike County
Principal Office: 683 ELISHA FORK, PIKEVILLE, KY 41501
Place of Formation: KENTUCKY

Registered Agent

Name Role
CHADWARD LEE THACKER Registered Agent

Organizer

Name Role
CHADWARD LEE THACKER Organizer

Member

Name Role
CHADWARD LEE THACKER Member

National Provider Identifier

NPI Number:
1124596341

Authorized Person:

Name:
DR. CHADWARD LEE THACKER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6065092002

Filings

Name File Date
Dissolution 2023-03-22
Annual Report 2022-03-07
Annual Report 2021-03-01
Annual Report 2020-02-15
Annual Report 2019-08-21

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Sources: Kentucky Secretary of State