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  5. NORTHEAST MISSISSIPPI HEALTH CARE, INC.

NORTHEAST MISSISSIPPI HEALTH CARE, INC.

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Company Details

Name: NORTHEAST MISSISSIPPI HEALTH CARE, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 17 Jan 1979 (47 years ago)
Business ID: 201564
ZIP code: 38611
County: Marshall
State of Incorporation: MISSISSIPPI
Principal Office Address: P O BOX 407BYHALIA, MS 38611-407

Incorporator

Name Role Address
GARY E MAHOLM Incorporator B, BYHALIA, MS
SID AYRES Incorporator H, HICKORY FLAT, MS
STAN MOOREHEAD Incorporator H, HICKORY FLAT, MS

Unique Entity ID

Unique Entity ID:
MF17UELZJ753
CAGE Code:
3Q9R5
UEI Expiration Date:
2026-02-25

Business Information

Activation Date:
2025-02-27
Initial Registration Date:
2004-02-17

Commercial and government entity program

CAGE number:
3Q9R5
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-02-27
CAGE Expiration:
2030-02-27
SAM Expiration:
2026-02-25

Contact Information

POC:
ANDREA M. CHRESTMAN

National Provider Identifier

NPI Number:
1447665385
Link:
View on NPI website

Authorized Person:

Name:
MARJORIE MCKINNEY
Role:
EXECUTIVE DIRECTOR
Phone:
6628382163

Taxonomy:

Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Phone:
+1 662-349-6220

Form 5500 Series

Employer Identification Number (EIN):
640620763
Plan Year:
2024
Number Of Participants:
79
Sponsors Telephone Number:
6628382098
File:
View File
Plan Year:
2023
Number Of Participants:
75
Sponsors Telephone Number:
6628382098
File:
View File
Plan Year:
2022
Number Of Participants:
74
Sponsors Telephone Number:
6628382098
File:
View File
Plan Year:
2021
Number Of Participants:
78
Sponsors Telephone Number:
6628382098
File:
View File
Plan Year:
2020
Number Of Participants:
73
Sponsors Telephone Number:
6628382098
File:
View File

Filings

Type Status Filed Date Description
Undetermined Event Filed 1979-01-23 Undetermined Event
Name Reservation Form Filed 1979-01-17 Name Reservation

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA24914J0102
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
-72495.00
Base And Exercised Options Value:
-72495.00
Base And All Options Value:
-72495.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2014-08-04
Description:
IGF::OT::IGF OTHER FUNCTIONS: COMMUNITY BASED OUTPATIENT CLINIC - PROVIDE PRIMARY HEALTH CARE AND MENTAL HEALTH CARE SERVICES TO VETERANS WITHIN CBOC COVERAGE AREA. DECREASE FUNDS ON FY14 PURCHASE ORDER TO CLOSE.
Naics Code:
621498: ALL OTHER OUTPATIENT CARE CENTERS
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE
Procurement Instrument Identifier:
VA24913J0102
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
-35000.00
Base And Exercised Options Value:
-35000.00
Base And All Options Value:
-35000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2013-09-01
Description:
IGF::OT::IGF OTHER FUNCTIONS: COMMUNITY BASED OUTPATIENT CLINIC - GENERATE PURCHASE ORDER FOR FY13 SERVICES. REMOVE $35,000 IN EXCESS FUNDS TO PREPARE FOR EOY.
Naics Code:
621498: ALL OTHER OUTPATIENT CARE CENTERS
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE
Procurement Instrument Identifier:
VA24912J0418
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DO
Action Obligation:
0.00
Base And Exercised Options Value:
600000.00
Base And All Options Value:
600000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2011-10-01
Description:
COMMUNITY BASED OUTPATIENT CLINIC. FUNDING DOCUMENT FOR FY12.
Naics Code:
621498: ALL OTHER OUTPATIENT CARE CENTERS
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE

USAspending Awards / Financial Assistance

Date:
2023-08-29
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 BRIDGE ACCESS PROGRAM
Obligated Amount:
53808.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-05-19
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 EXPANDING COVID-19 VACCINATION
Obligated Amount:
178281.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-09-20
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HEALTH CENTER INFRASTRUCTURE SUPPORT
Obligated Amount:
631197.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-03-27
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS
Obligated Amount:
3242375.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-05-05
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2020 EXPANDING CAPACITY FOR CORONAVIRUS TESTING (ECT)
Obligated Amount:
277234.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
64-0620763
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
1979-10
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
73
Initial Approval Amount:
$773,900
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$773,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$778,882.64
Servicing Lender:
Bank of Holly Springs
Use of Proceeds:
Payroll: $763,900
Utilities: $10,000

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Related by address

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Date of last update: 24 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website

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