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CLUB MD LLC

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Company Details

Name: CLUB MD LLC
Legal type: Kentucky Limited Liability Company
Status: Active
File Date: 20 Jan 2025 (6 months ago)
Organization Date: 20 Jan 2025 (6 months ago)
Managed By: Members
Organization Number: 1423211
ZIP code: 40391
City: Winchester, Ford
Primary County: Clark County
Principal Office: 1225 Athens Boonesboro Rd., Winchester, KY 40391
Place of Formation: KENTUCKY

Registered Agent

Name Role
J Karl Crase Registered Agent

Organizer

Name Role
J Karl Crase Organizer

National Provider Identifier

NPI Number:
1447508809

Authorized Person:

Name:
ERIC WARREN BLETZINGER
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Name File Date
Articles of Organization 2025-01-20

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Sources: Kentucky Secretary of State