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Summit Healthcare, PLLC

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Company Details

Name: Summit Healthcare, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 09 Nov 2021 (4 years ago)
Organization Date: 09 Nov 2021 (4 years ago)
Last Annual Report: 03 Aug 2022 (3 years ago)
Managed By: Members
Organization Number: 1176555
ZIP code: 40422
City: Danville
Primary County: Boyle County
Principal Office: 124 Daniel Dr, Danville, KY 40422
Place of Formation: KENTUCKY

Member

Name Role
Vidhya Ravi Member

Registered Agent

Name Role
Vidhya Ravi Registered Agent

Organizer

Name Role
Vidhya Ravi Organizer

National Provider Identifier

NPI Number:
1730808510
Certification Date:
2022-08-24

Authorized Person:

Name:
CIARA LEWIS
Role:
BILLING SPECIALIST
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
873487057
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:

Filings

Name File Date
Administrative Dissolution 2023-10-04
Annual Report 2022-08-03

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Sources: Kentucky Secretary of State