| Entity Name: | PUTNAM COMMUNITY MEDICAL CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 19 Apr 2000 (25 years ago) |
| Date of dissolution: | 01 May 2015 (10 years ago) |
| Last Event: | LC WITHDRAWAL |
| Event Date Filed: | 01 May 2015 (10 years ago) |
| Document Number: | M00000000770 |
| FEI/EIN Number |
621818453
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 330 Seven Springs Way, Brentwood, TN, 37027, US |
| Mail Address: | 330 Seven Springs Way, Brentwood, TN, 37027, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295154185 | 2014-04-08 | 2014-04-08 | 611 ZEAGLER DR, PALATKA, FL, 321773810, US | 611 ZEAGLER DR, PALATKA, FL, 321773810, US | |||||||||||||||||||||||
|
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| Phone | +1 386-326-8450 |
| Fax | 3863268484 |
Authorized person
| Name | GAIL KING |
| Role | DIRECTOR OF PHARMACY |
| Phone | 3863268451 |
Taxonomy
| Taxonomy Code | 3336I0012X - Institutional Pharmacy |
| License Number | PH17363 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PK |
| Number | 2145072 |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | - |
| Bivacca Donald J | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Teague Kathy | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Frantz Steve W | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Owens Bradley R | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Coggin Michael S | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Green Christy J | Manager | 330 Seven Springs Way, Brentwood, TN, 37027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC WITHDRAWAL | 2015-05-01 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-04-12 | 330 Seven Springs Way, Brentwood, TN 37027 | - |
| CHANGE OF MAILING ADDRESS | 2015-04-12 | 330 Seven Springs Way, Brentwood, TN 37027 | - |
| REGISTERED AGENT NAME CHANGED | 2002-01-22 | C T CORPORATION SYSTEM | - |
| REGISTERED AGENT ADDRESS CHANGED | 2002-01-22 | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL 33324 | - |
| Name | Date |
|---|---|
| LC Withdrawal | 2015-05-01 |
| ANNUAL REPORT | 2015-04-12 |
| ANNUAL REPORT | 2014-05-01 |
| ANNUAL REPORT | 2013-01-30 |
| ANNUAL REPORT | 2012-01-05 |
| ANNUAL REPORT | 2011-01-13 |
| ANNUAL REPORT | 2010-04-06 |
| ANNUAL REPORT | 2009-03-18 |
| ANNUAL REPORT | 2008-04-30 |
| ANNUAL REPORT | 2007-04-18 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
