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Integra Healthcare Associates PLLC

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Company Details

Name: Integra Healthcare Associates PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 14 Nov 2020 (5 years ago)
Organization Date: 14 Nov 2020 (5 years ago)
Last Annual Report: 21 Mar 2023 (2 years ago)
Managed By: Members
Organization Number: 1120780
ZIP code: 40517
City: Lexington
Primary County: Fayette County
Principal Office: 4071 Tates Creek Centre Dr Ste 101, Lexington, KY 40517
Place of Formation: KENTUCKY

Organizer

Name Role
Alicia Gatterdam Organizer

Member

Name Role
Alicia Orlandi Gatterdam Member
Clayton Phillip Gatterdam Member
William Gregory Devine Member

Registered Agent

Name Role
Alicia Gatterdam Registered Agent
CLAYTON GATTERDAM Registered Agent

National Provider Identifier

NPI Number:
1134723919
Certification Date:
2023-01-31

Authorized Person:

Name:
ALICIA O GATTERDAM
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
No
Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Name File Date
Dissolution 2023-08-22
Annual Report 2023-03-21
Principal Office Address Change 2023-01-17
Annual Report 2022-03-14
Annual Report Amendment 2021-12-15

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Sources: Kentucky Secretary of State