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PHC-CLEVELAND, INC.

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Company Details

Name: PHC-CLEVELAND, INC.
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 09 Mar 2000 (25 years ago)
Business ID: 683717
State of Incorporation: DELAWARE
Principal Office Address: 680 South Fourth StreetLouisville, KY 40202
Fictitious names: Bolivar Medical Center
Bolivar Outpatient Services Center
Historical names: Bolivar Medical Center DBA

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 645 LAKELAND EAST DRIVE, Suite 101, FLOWOOD, MS 39232

Incorporator

Name Role Address
Howard T Wall Incorporator 105 Westwood Place Ste 400, Brentwood, TN 37027

Manager

Name Role Address
Alan Wenk Manager 680 South Fourth Street, Louisville, KY 40202
Michael J. Bean Manager 680 South Fourth Street, Louisville, KY 40202
Russell Pigg Manager 680 South Fourth Street, Louisville, KY 40202
Scott Graeser Manager 680 South Fourth Street, Louisville, KY 40202

Central Index Key

A CIK (Central Index Key) number is a unique identifier assigned by the U.S. Securities and Exchange Commission (SEC) to companies that: Are publicly traded on U.S. stock exchanges, File reports with the SEC.

Note: Having a CIK number indicates that: The company is registered with the SEC, Files regular financial reports (like 10-K, 10-Q), Must comply with federal securities laws and regulations, Has public shareholders, Makes financial information publicly available through SEC's EDGAR database.

CIK number:
0001515833
Phone:
615-920-70000

Latest Filings

Form type:
424B3
File number:
333-216346-81
Filing date:
2017-05-08
File:
Form type:
EFFECT
File number:
333-216346-81
Filing date:
2017-05-05
File:
Form type:
S-4/A
File number:
333-216346-81
Filing date:
2017-05-03
File:
Form type:
S-4/A
File number:
333-216346-81
Filing date:
2017-04-07
File:
Form type:
S-4
File number:
333-216346-81
Filing date:
2017-03-01
File:

National Provider Identifier

NPI Number:
1770889461
Certification Date:
2024-03-11

Authorized Person:

Name:
KATHY TEAGUE
Role:
VICE PRESIDENT, CORPORATE SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
275N00000X - Medicare Defined Swing Bed Hospital Unit
Is Primary:
Yes

Contacts:

Fax:
6159208913
Fax:
6628462380

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-20 Annual Report For PHC-CLEVELAND, INC.
Annual Report LLC Filed 2024-03-16 Annual Report For PHC-CLEVELAND, INC.
Fictitious Name Renewal Filed 2023-12-22 Fictitious Name Renewal For PHC-CLEVELAND, INC.
Annual Report LLC Filed 2023-04-24 Annual Report For PHC-CLEVELAND, INC.
Annual Report LLC Filed 2022-05-05 Annual Report For PHC-CLEVELAND, INC.
Business Domestication Filed 2021-12-21 Statement of Domestication For PHC-CLEVELAND, INC.
Business Conversion Filed 2021-12-20 Business Conversion For PHC-CLEVELAND, INC.
Annual Report Filed 2021-04-05 Annual Report For PHC-CLEVELAND, INC.
Fictitious Name Renewal Filed 2020-05-19 Fictitious Name Renewal For PHC-CLEVELAND, INC.
Annual Report Filed 2020-03-13 Annual Report For PHC-CLEVELAND, INC.

OSHA's Inspections within Industry

Inspection Summary

Date:
2022-04-26
Type:
FollowUp
Address:
901 E SUNFLOWER ROAD, CLEVELAND, MS, 38732
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2020-09-21
Type:
Referral
Address:
901 E SUNFLOWER ROAD, CLEVELAND, MS, 38732
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2020-09-21
Type:
Referral
Address:
810 EAST SUNFLOWER RD, CLEVELAND, MS, 38732
Safety Health:
Health
Scope:
NoInspection

Inspection Summary

Date:
2002-12-30
Type:
Complaint
Address:
901 EAST SUNFLOWER ROAD., CLEVELAND, MS, 38732
Safety Health:
Health
Scope:
Partial

Court Cases

Court Case Summary

Filing Date:
2020-04-02
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Defendant demands jury
Nature Of Suit:
Personal Injury - Product Liability

Parties

Party Name:
CURRY
Party Role:
Plaintiff
Party Name:
PHC-CLEVELAND, INC.
Party Role:
Defendant

Court Case Summary

Filing Date:
2012-08-31
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Civil Rights Employment

Parties

Party Name:
KNOX
Party Role:
Plaintiff
Party Name:
PHC-CLEVELAND, INC.
Party Role:
Defendant

Court Case Summary

Filing Date:
2008-04-25
Status:
Terminated
Nature Of Judgment:
Missing
Jury Demand:
Both plaintiff and defendant demand jury
Nature Of Suit:
Other Personal Injury

Parties

Party Name:
HUNTER
Party Role:
Plaintiff
Party Name:
PHC-CLEVELAND, INC.
Party Role:
Defendant

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Date of last update: 03 May 2025

Sources: Company Profile on Mississippi Secretary of State Website