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Premier Family Clinic & Urgent Care, LLC

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Company Details

Name: Premier Family Clinic & Urgent Care, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 06 Jul 2012 (13 years ago)
Business ID: 1004697
ZIP code: 38652
County: Union
State of Incorporation: MISSISSIPPI
Principal Office Address: 456 W Bankhead StNEW ALBANY, MS 38652

Agent

Name Role Address
Tice, Shelia Sancillo Agent 1211 CR 821, Saltillo, MS 38866

Member

Name Role Address
Danny Tice Member 456 W Bankhead St, NEW ALBANY, MS 38652

National Provider Identifier

NPI Number:
1154671824

Authorized Person:

Name:
SHELIA TICE
Role:
PROVIDER/MANAGER
Phone:

Taxonomy:

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

Contacts:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2017-12-06 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Annual Report LLC Filed 2016-04-15 Annual Report For Premier Family Clinic & Urgent Care, LLC
Annual Report LLC Filed 2015-03-25 Annual Report For Premier Family Clinic & Urgent Care, LLC
Annual Report LLC Filed 2014-01-27 Annual Report LLC
Annual Report LLC Filed 2013-02-14 Annual Report LLC
Formation Form Filed 2012-07-06 Formation

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Date of last update: 11 May 2025

Sources: Company Profile on Mississippi Secretary of State Website