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East Mountain Health Clinic, LLC

Company Details

Name: East Mountain Health Clinic, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 29 Nov 2019 (6 years ago)
Organization Date: 29 Nov 2019 (6 years ago)
Last Annual Report: 23 Jun 2023 (2 years ago)
Managed By: Members
Organization Number: 1079045
ZIP code: 41224
City: Inez, Job, Threeforks
Primary County: Martin County
Principal Office: 3165 Blacklog Rd, Inez, KY 41224
Place of Formation: KENTUCKY

Registered Agent

Name Role
Scott Siegel Registered Agent

Member

Name Role
Scott Siegel Member

Organizer

Name Role
Scott Siegel Organizer

National Provider Identifier

NPI Number:
1578102760
Certification Date:
2020-08-18

Authorized Person:

Name:
SCOTT SIEGEL
Role:
DO, OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
6065343436

Filings

Name File Date
Administrative Dissolution 2024-10-12
Annual Report 2023-06-23
Annual Report 2022-06-30
Annual Report 2021-06-15
Annual Report 2020-05-06

USAspending Awards / Financial Assistance

Date:
2020-05-03
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
3000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Sources: Kentucky Secretary of State