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BAPTIST HEALTH SURGERY CENTER BRECKENRIDGE, LLC

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Company Details

Name: BAPTIST HEALTH SURGERY CENTER BRECKENRIDGE, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 15 Dec 2022 (2 years ago)
Organization Date: 15 Dec 2022 (2 years ago)
Last Annual Report: 30 Jun 2024 (a year ago)
Managed By: Managers
Organization Number: 1247547
Industry: Health Services
Number of Employees: Medium (20-99)
ZIP code: 40299
City: Louisville, Jeffersontown
Primary County: Jefferson County
Principal Office: 1901 CAMPUS PLACE, LOUISVILLE, KY 40299
Place of Formation: KENTUCKY

Manager

Name Role
PATRICK FALVEY Manager
CHASE HALL Manager
GRETCHEN LEITERMAN Manager
SHELLEY SHAUGHNESSY Manager
JONATHAN VELEZ MD Manager

Registered Agent

Name Role
JANET M. NORTON Registered Agent

Organizer

Name Role
JANET M. NORTON Organizer

National Provider Identifier

NPI Number:
1710688627
Certification Date:
2023-03-16

Authorized Person:

Name:
MR. RICHARD CARRICO
Role:
CHIEF FINANCIAL OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5029280059

Filings

Name File Date
Annual Report 2024-06-30
Annual Report 2023-06-28
Registered Agent name/address change 2023-01-26
Principal Office Address Change 2023-01-26
Articles of Organization (LLC) 2022-12-15

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Sources: Kentucky Secretary of State