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Pine Mountain Emergency Group Limited Liability Company

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Company Details

Name: Pine Mountain Emergency Group Limited Liability Company
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 18 Jul 2019 (6 years ago)
Organization Date: 18 Jul 2019 (6 years ago)
Last Annual Report: 22 May 2024 (a year ago)
Managed By: Members
Organization Number: 1065415
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: 200 Corporate Blvd., Lafayette, LA 70508
Place of Formation: KENTUCKY

Member

Name Role
The Schumacher Group of Kentucky, Inc. Member

Registered Agent

Name Role
C T CORPORATION SYSTEM Registered Agent

Organizer

Name Role
Lisha Falk Organizer

National Provider Identifier

NPI Number:
1568010064
Certification Date:
2022-03-23

Authorized Person:

Name:
LISHA C FALK
Role:
VP OF CONTRACTING
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2024-05-22
Annual Report 2023-04-18
Annual Report 2022-03-08
Annual Report 2021-05-07
Annual Report 2020-05-01

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Sources: Kentucky Secretary of State