Northwest Miss Regional Medical Center

Agent

Name	Role	Address
Erika Stapleton	Agent	1970 Hospital Drive, Clarksdale, MS 38614

Incorporator

Name	Role	Address
Thomas Hayes	Incorporator	509 colonial dr, Clarksdale, MS 38614

Secretary

Name	Role	Address
Thomas S Hayes	Secretary	509 Colonial Drive, Clarksdale, MS 38614

Chairman

Name	Role	Address
Richard Flowers	Chairman	732 Friars Point Road, Clarksdale, MS 38614

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.

Business Information

National Provider Identifier

Authorized Person:

Taxonomy:

Contacts:

Filings

Type	Status	Filed Date	Description
Fictitious Name Registration	Filed	2025-01-13	Fictitious Name Registration For Northwest Miss Regional Medical Center
Non-Profit Annual Report	Filed	2025-01-10	Annual Report For Northwest Miss Regional Medical Center
Fictitious Name Registration	Filed	2024-02-21	Fictitious Name Registration For Northwest Miss Regional Medical Center
Formation Form	Filed	2024-02-20	Formation For Northwest Miss Regional Medical Center