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Primary Family Medical Clinic, LLC

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Company Details

Name: Primary Family Medical Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 30 Apr 2018 (7 years ago)
Business ID: 1144305
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 124 Clearview Dr WMadison, MS 39110

Agent

Name Role Address
Sandra Thomas Agent 124 Clearview Dr. WEST, Madison, MS 39110

Organizer

Name Role Address
Sandra Thomas Organizer 124 Clearview Dr. WEST, Madison, MS 39110

Manager

Name Role Address
Sandra Thomas Manager 100 Marketplace Drive Suite D, Byram, MS 39272

Member

Name Role Address
Sandra Thomas Member 100 Marketplace Drive Suite D, Byram, MS 39272

President

Name Role Address
Sandra Thomas President 100 Marketplace Drive Suite D, Byram, MS 39272

Secretary

Name Role Address
Sandra Thomas Secretary 100 Marketplace Drive Suite D, Byram, MS 39272

National Provider Identifier

NPI Number:
1093204158

Authorized Person:

Name:
SANDRA FAYE THOMAS
Role:
FAMILY NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
7693008086
Fax:
7693008068

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-02-02 Annual Report For Primary Family Medical Clinic, LLC
Annual Report LLC Filed 2023-01-20 Annual Report For Primary Family Medical Clinic, LLC
Annual Report LLC Filed 2022-03-19 Annual Report For Primary Family Medical Clinic, LLC
Annual Report LLC Filed 2021-04-10 Annual Report For Primary Family Medical Clinic, LLC
Annual Report LLC Filed 2020-05-29 Annual Report For Primary Family Medical Clinic, LLC
Annual Report LLC Filed 2019-04-22 Annual Report For Primary Family Medical Clinic, LLC
Formation Form Filed 2018-04-12 Formation For Primary Family Medical Clinic, LLC

USAspending Awards / Financial Assistance

Date:
2020-06-17
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
5000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-06-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
32500.00
Total Face Value Of Loan:
32500.00

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Date of last update: 19 May 2025

Sources: Company Profile on Mississippi Secretary of State Website