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Appalachian Wellness Primary Care, LLC

Company Details

Name: Appalachian Wellness Primary Care, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 22 Mar 2021 (4 years ago)
Organization Date: 22 Mar 2021 (4 years ago)
Last Annual Report: 21 Mar 2024 (a year ago)
Managed By: Managers
Organization Number: 1140128
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41301
City: Campton, Bethany, Burkhart, Flat, Gillmore, Lee C...
Primary County: Wolfe County
Principal Office: PO Box 1136, Campton, KY 41301
Place of Formation: KENTUCKY

Registered Agent

Name Role
SHERI LYN ROSE HAAS Registered Agent

Manager

Name Role
Sheri Haas Manager

Organizer

Name Role
Jessi Jade Campbell Organizer

National Provider Identifier

NPI Number:
1396488656
Certification Date:
2022-08-10

Authorized Person:

Name:
MISS SHERI ROSE HAAS
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
8772033485

Filings

Name File Date
Annual Report 2024-03-21
Principal Office Address Change 2024-03-21
Annual Report 2023-03-21
Annual Report 2022-09-13
Registered Agent name/address change 2022-05-17

Sources: Kentucky Secretary of State