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Community Family Clinic-School, LLC

Company Details

Name: Community Family Clinic-School, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 24 May 2023 (2 years ago)
Organization Date: 24 May 2023 (2 years ago)
Last Annual Report: 25 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 1283754
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40322
City: Frenchburg, Mariba, Scranton
Primary County: Menifee County
Principal Office: Po Box 855, Frenchburg, KY 40322
Place of Formation: KENTUCKY

Registered Agent

Name Role
Taufik Kassis Registered Agent

Member

Name Role
Taufik Kassis Member

Organizer

Name Role
Taufik Kassis Organizer

National Provider Identifier

NPI Number:
1639858467
Certification Date:
2024-02-19

Authorized Person:

Name:
DR. TAUFIK KASSIS
Role:
OWNER/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6067689180

Filings

Name File Date
Annual Report 2024-03-25

Sources: Kentucky Secretary of State