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BlueHealth Baptist, LLC

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Company Details

Name: BlueHealth Baptist, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 31 Jul 2020 (5 years ago)
Business ID: 1228144
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 401 Baptist Drive, Suite 110Madison, MS 39110

Agent

Name Role Address
Cheri D. Green Agent 3545 Lakeland Drive, Flowood, MS 39232

Organizer

Name Role Address
William C. Penick IV Organizer 190 E. Capitol St., Suite 100, Jackson, MS 39201

Manager

Name Role Address
Justin Rhodes Manager 350 N. Humphreys Blvd., Memphis, TN 38120

National Provider Identifier

NPI Number:
1255901591
Certification Date:
2021-06-29

Authorized Person:

Name:
BETHANY UNGO
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-14 Annual Report For BlueHealth Baptist, LLC
Annual Report LLC Filed 2024-12-05 Annual Report For BlueHealth Baptist, LLC
Annual Report LLC Filed 2024-03-19 Annual Report For BlueHealth Baptist, LLC
Annual Report LLC Filed 2023-04-17 Annual Report For BlueHealth Baptist, LLC
Annual Report LLC Filed 2022-03-16 Annual Report For BlueHealth Baptist, LLC
Annual Report LLC Filed 2021-03-12 Annual Report For BlueHealth Baptist, LLC
Formation Form Filed 2020-07-31 Formation For BlueHealth Baptist, LLC

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Date of last update: 23 May 2025

Sources: Company Profile on Mississippi Secretary of State Website