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JACKSON COUNTY CLINIC LLC

Company Details

Name: JACKSON COUNTY CLINIC LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 28 Nov 2023 (2 years ago)
Organization Date: 28 Nov 2023 (2 years ago)
Last Annual Report: 27 Mar 2024 (a year ago)
Managed By: Members
Organization Number: 1323565
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40741
City: London, Marydell, Sasser, Tuttle
Primary County: Laurel County
Principal Office: 725 S Main street, London, KY 40741
Place of Formation: KENTUCKY

Registered Agent

Name Role
Tammy Whitehead Registered Agent

Member

Name Role
Tammy whitehead Member
Devin Whitehead Member

Organizer

Name Role
Tammy Whitehead Organizer
Devin Whitehead Organizer

National Provider Identifier

NPI Number:
1942064134
Certification Date:
2024-03-04

Authorized Person:

Name:
NATASHA SIGMON
Role:
OPERATIONS
Phone:

Taxonomy:

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

Contacts:

Filings

Name File Date
Dissolution 2024-11-06
Annual Report 2024-03-27
Registered Agent name/address change 2023-12-04
Articles of Organization 2023-11-28

Sources: Kentucky Secretary of State