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Indian Springs Medical Clinic, LLC

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Company Details

Name: Indian Springs Medical Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 17 Jul 2019 (6 years ago)
Business ID: 1183560
ZIP code: 39117
County: Scott
State of Incorporation: MISSISSIPPI
Principal Office Address: 41 South Hall RoadMorton, MS 39117

Agent

Name Role Address
Cory B Hall Agent 656 Marathon Road, Morton, MS 39117

Organizer

Name Role Address
Ralph A. Yelverton Esq Organizer 1400 Meadowbrook Road, Suite 102, Jackson, MS 39211

Manager

Name Role Address
Robert E. Hall Manager 656 Morton Marathon Road, Morton, MS 39117

National Provider Identifier

NPI Number:
1295493682
Certification Date:
2021-12-02

Authorized Person:

Name:
ADAM JERRID CUMBERLAND
Role:
OPERATIONS MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6017825655

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-23 Annual Report For Indian Springs Medical Clinic, LLC
Annual Report LLC Filed 2024-03-19 Annual Report For Indian Springs Medical Clinic, LLC
Annual Report LLC Filed 2023-03-21 Annual Report For Indian Springs Medical Clinic, LLC
Annual Report LLC Filed 2022-04-12 Annual Report For Indian Springs Medical Clinic, LLC
Annual Report LLC Filed 2021-04-05 Annual Report For Indian Springs Medical Clinic, LLC
Annual Report LLC Filed 2020-01-21 Annual Report For Indian Springs Medical Clinic, LLC
Formation Form Filed 2019-07-17 Formation For Indian Springs Medical Clinic, LLC

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Date of last update: 21 May 2025

Sources: Company Profile on Mississippi Secretary of State Website