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Keystone Hospitalist Services of MS, Inc

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Company Details

Name: Keystone Hospitalist Services of MS, Inc
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 09 Nov 2012 (13 years ago)
Business ID: 1011085
State of Incorporation: MISSISSIPPI
Principal Office Address: 10312 Bloomingdale Ave, Suite 108 - #379Riverview, FL 33578

Agent

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

Incorporator

Name Role Address
E Payne Atkinson Incorporator 201 South Spring St., 7th Floor, Tupelo, MS 38804

President

Name Role Address
Glenn C. Adams President 10312 Bloomingdale Ave, Suite 108 - #379, Riverview, FL 33578

Director

Name Role Address
Andrew Portelli Director 10312 Bloomingdale Ave, Suite 108 - #379, Riverview, FL 33578
Ronald Dvorkin Director 71 Primrose Lane, Kings Park, NY 11754
Glenn C. Adams Director 10312 Bloomingdale Ave, Suite 108 - #379, Riverview, FL 33578

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
C14SLM2XMMZ7
CAGE Code:
8TVJ5
UEI Expiration Date:
2025-11-10

Business Information

Doing Business As:
KEYSTONE HOSPITALIST SERVICES OF MS INC
Activation Date:
2024-11-20
Initial Registration Date:
2020-12-30

National Provider Identifier

NPI Number:
1932447968

Authorized Person:

Name:
GLENN ADAMS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
Yes

Contacts:

Fax:
9044821077

Filings

Type Status Filed Date Description
Annual Report Filed 2025-02-09 Annual Report For Keystone Hospitalist Services of MS, Inc
Annual Report Filed 2024-03-13 Annual Report For Keystone Hospitalist Services of MS, Inc
Annual Report Filed 2023-03-07 Annual Report For Keystone Hospitalist Services of MS, Inc
Annual Report Filed 2022-04-04 Annual Report For Keystone Hospitalist Services of MS, Inc
Annual Report Filed 2021-04-05 Annual Report For Keystone Hospitalist Services of MS, Inc
Annual Report Filed 2020-04-06 Annual Report For Keystone Hospitalist Services of MS, Inc
Annual Report Filed 2019-04-03 Annual Report For Keystone Hospitalist Services of MS, Inc
Amendment Form Filed 2019-03-08 Amendment For Keystone Hospitalist Services of MS, Inc
Annual Report Filed 2018-03-29 Annual Report For Keystone Hospitalist Services of MS, Inc
Amendment Form Filed 2017-04-19 Amendment For Keystone Hospitalist Services of MS, Inc

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Date of last update: 11 May 2025

Sources: Company Profile on Mississippi Secretary of State Website