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Premier Surgical Center, LLC

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Company Details

Name: Premier Surgical Center, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 09 Aug 2017 (8 years ago)
Business ID: 1125212
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 160 Fountains Boulevard, Suite BMadison, MS 39110

Agent

Name Role Address
Pam Wilkerson Agent 160 Fountains Boulevard, Suite B, Madison, MS 39110

Organizer

Name Role Address
John Howard Shows Organizer 242 Market Street, Flowood, MS 39232

Manager

Name Role Address
Somprasong Songcharoen MD Manager 160 Fountains Boulevard, Suite B, Madison, MS 39110

Member

Name Role Address
Somprasong Songcharoen MD Member 160 Fountains Boulevard, Suite B, Madison, MS 39110

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:
C5PTWE7EPDQ5
UEI Expiration Date:
2025-11-05

Business Information

Doing Business As:
PREMIER PLASTIC SURGICAL CENTER LLC
Division Name:
PREMIER SURGICAL CENTER, LLC
Activation Date:
2024-11-07
Initial Registration Date:
2023-11-07

National Provider Identifier

NPI Number:
1093214819
Certification Date:
2024-03-12

Authorized Person:

Name:
REBEKAH ELIZABETH HENDERSON
Role:
OR AMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6015865315
Fax:
6019449780

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-03 Annual Report For Premier Surgical Center, LLC
Annual Report LLC Filed 2024-02-05 Annual Report For Premier Surgical Center, LLC
Amendment Form Filed 2023-02-14 Amendment For Premier Surgical Center, LLC
Annual Report LLC Filed 2023-02-14 Annual Report For Premier Surgical Center, LLC
Annual Report LLC Filed 2022-02-15 Annual Report For Premier Surgical Center, LLC
Annual Report LLC Filed 2021-02-02 Annual Report For Premier Surgical Center, LLC
Annual Report LLC Filed 2020-01-07 Annual Report For Premier Surgical Center, LLC
Annual Report LLC Filed 2019-02-25 Annual Report For Premier Surgical Center, LLC
Annual Report LLC Filed 2019-01-25 Annual Report For Premier Surgical Center, LLC
Annual Report LLC Filed 2018-03-15 Annual Report For Premier Surgical Center, LLC

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:
74020.00
Total Face Value Of Loan:
74020.00

Paycheck Protection Program

Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
74020
Current Approval Amount:
74020
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
74451.78

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Date of last update: 18 May 2025

Sources: Company Profile on Mississippi Secretary of State Website