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Cassidy Bayou Medical Clinic, LLC

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Company Details

Name: Cassidy Bayou Medical Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 06 Nov 2019 (6 years ago)
Business ID: 1192713
ZIP code: 38963
County: Tallahatchie
State of Incorporation: MISSISSIPPI
Principal Office Address: 2363 Jenkins Road Tutwiler , MS 38963

Agent

Name Role Address
Sonja Bush Pennington Agent 2363 Jenkins road, Tutwiler, MS 38963

Manager

Name Role Address
Sonja Bush Pennington Manager 2353 Jenkins Road, Tutwiler, MS 38963

National Provider Identifier

NPI Number:
1376181990
Certification Date:
2020-04-27

Authorized Person:

Name:
SONJA BUSH PENNINGTON
Role:
PROVIDER/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6623759311

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-14 Annual Report For Cassidy Bayou Medical Clinic, LLC
Annual Report LLC Filed 2024-02-15 Annual Report For Cassidy Bayou Medical Clinic, LLC
Annual Report LLC Filed 2023-03-17 Annual Report For Cassidy Bayou Medical Clinic, LLC
Annual Report LLC Filed 2022-02-15 Annual Report For Cassidy Bayou Medical Clinic, LLC
Annual Report LLC Filed 2021-03-12 Annual Report For Cassidy Bayou Medical Clinic, LLC
Annual Report LLC Filed 2020-04-29 Annual Report For Cassidy Bayou Medical Clinic, LLC
Formation Form Filed 2019-11-01 Formation For Cassidy Bayou Medical Clinic, LLC

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Date of last update: 22 May 2025

Sources: Company Profile on Mississippi Secretary of State Website