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Ivancic Pediatric Clinic PA

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Company Details

Name: Ivancic Pediatric Clinic PA
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 23 Sep 2014 (11 years ago)
Business ID: 1052267
ZIP code: 38801
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 499 Gloster Creek Village, Suite H-3Tupelo, MS 38801

Agent

Name Role Address
Norma Carr Ruff Agent 363 North Broadway, P.O. Box 496, Tupelo, MS 38802-0496

Incorporator

Name Role Address
M. Edward Ivancic MD Incorporator c/o P.O. Box 496, Tupelo, MS 38802-0496

President

Name Role Address
Milan Edward Ivancic MD President 499 Gloster Creek Village, Suite H-3, Tupelo, MS 38801

Vice President

Name Role Address
Alexa Nicole Currey MD Vice President 499 Gloster Creek Village, Suite H-3, Tupelo, MS 38801

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:
Q3HXGNFEMBD7
UEI Expiration Date:
2025-04-19

Business Information

Activation Date:
2024-04-23
Initial Registration Date:
2024-04-19

National Provider Identifier

NPI Number:
1942606256

Authorized Person:

Name:
MRS. MITZI PARSONS
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
6628406030

Form 5500 Series

Employer Identification Number (EIN):
472215408
Plan Year:
2023
Number Of Participants:
23
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
15
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Annual Report Filed 2024-03-21 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2023-04-13 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2022-02-10 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2021-01-25 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2020-02-10 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2019-02-27 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2018-04-04 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2017-02-20 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2016-02-24 Annual Report For Ivancic Pediatric Clinic PA
Annual Report Filed 2015-06-05 Annual Report For Ivancic Pediatric Clinic PA

USAspending Awards / Financial Assistance

Date:
2020-04-13
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
190295.00
Total Face Value Of Loan:
190295.00

Paycheck Protection Program

Date Approved:
2020-04-12
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
190295
Current Approval Amount:
190295
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
192626.11

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Date of last update: 15 May 2025

Sources: Company Profile on Mississippi Secretary of State Website