Search icon

County Line Primary Care, LLC

Company Details

Name: County Line Primary Care, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 24 Feb 2020 (5 years ago)
Organization Date: 24 Feb 2020 (5 years ago)
Last Annual Report: 23 Feb 2024 (a year ago)
Managed By: Members
Organization Number: 1088586
ZIP code: 41339
City: Jackson, Altro, Athol, Canoe, Decoy, Elkatawa, Fr...
Primary County: Breathitt County
Principal Office: 1550 Highway 15 S Ste 240, Jackson, KY 41339
Place of Formation: KENTUCKY

Registered Agent

Name Role
JUSTIN NEACE Registered Agent
Justin Neace Registered Agent

Organizer

Name Role
John-Paul Volk Organizer

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
PP2ETPFJT1S5
UEI Expiration Date:
2025-06-14

Business Information

Doing Business As:
COUNTY LINE PRIMARY CARE LLC
Activation Date:
2024-06-17
Initial Registration Date:
2023-08-10

National Provider Identifier

NPI Number:
1609378132
Certification Date:
2022-02-24

Authorized Person:

Name:
JESSICA ANN NEACE
Role:
APRN
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6068245042

Assumed Names

Name Status Expiration Date
Jackson Medical Clinic Family Health Care Active 2026-04-21

Filings

Name File Date
Annual Report 2024-02-23
Annual Report 2023-07-05
Reinstatement Certificate of Existence 2022-04-07
Reinstatement 2022-04-07
Reinstatement Approval Letter Revenue 2022-04-07

USAspending Awards / Financial Assistance

Date:
2024-09-12
Awarding Agency Name:
Department of Agriculture
Transaction Description:
TELEMEDICINE GRANT
Obligated Amount:
158518.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-08-12
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL HEALTH CLINIC VACCINE CONFIDENCE PROGRAM
Obligated Amount:
0.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Sources: Kentucky Secretary of State