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SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.

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Company Details

Name: SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 04 May 1979 (46 years ago)
Business ID: 401909
State of Incorporation: MISSISSIPPI
Principal Office Address: 300 SOUTH 28TH AVENUEHATTIESBURG, MS

Incorporator

Name Role Address
ALVIN BEASLEY Incorporator 705 HIGHWAY 42 EAST, SUMRALL, MS
HAZEL DUNNAM Incorporator WEST ST, NEW AUGUSTA, MS
MOLLY CRANFORD Incorporator 108 NAPIER ST, SEMINARY, MS

Agent

Name Role Address
Richard Filce Agent 525 Corrine Street, HATTIESBURG, MS 39403

National Provider Identifier

NPI Number:
1902502453
Certification Date:
2023-02-06

Authorized Person:

Name:
JANICE ROBINSON
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
6014500231

Filings

Type Status Filed Date Description
Amendment Form Filed 2024-07-24 Amendment For SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
Agent Resignation Filed 2024-07-24 Agent Resignation For
Amendment Form Filed 2015-10-16 Amendment For SOUTHEAST MISSISSIPPI RURAL HEALTH INITIATIVE, INC.
See File Filed 1979-12-13 See File
Undetermined Event Filed 1979-07-09 Undetermined Event
Name Reservation Form Filed 1979-05-04 Name Reservation

Tax Exempt

Employer Identification Number (EIN) :
64-0625076
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:
1980-01
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

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Date of last update: 18 Apr 2025

Sources: Mississippi Secretary of State