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CENTRAL MISSISSIPPI HEALTH SERVICES, INC.

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Company Details

Name: CENTRAL MISSISSIPPI HEALTH SERVICES, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 07 Dec 1981 (44 years ago)
Business ID: 500624
ZIP code: 39204
County: Hinds
State of Incorporation: MISSISSIPPI
Principal Office Address: 1134 Winter StreetJackson, MS 39204

Agent

Name Role Address
Marvel Turner Sr Agent 1031 Arbor Vista Blvd, Jackson, Jackson, MS 39209

Incorporator

Name Role Address
GEORGE SMITH Incorporator 1021 ARBOR VISTA, JACKSON, MS 40000
ROBERT SMITH Incorporator 1134 WINTER ST, JACKSON, MS 40000
STARKEY HUDSON Incorporator 1134 WINTER ST, JACKSON, MS 40000

President

Name Role Address
Robert Smith MD President 1134 Winter Street, Jackson, MS 39204

Chief Financial Officer

Name Role Address
Dr. Marvel A. Turner, Sr. CPA Chief Financial Officer 1031 Arbor Vista Blvd., Jackson, MS 39209

Member

Name Role Address
GEORGE SMITH Member 1021 ARBOR VISTA, JACKSON, MS 39209
STARKEY HUDSON MD Member 1134 WINTER STREET, JACKSON, MS 39204

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.

Unique Entity ID:
M9TPEUYMHKF3
CAGE Code:
3YQM4
UEI Expiration Date:
2025-11-15

Business Information

Activation Date:
2024-11-20
Initial Registration Date:
2004-07-26

National Provider Identifier

NPI Number:
1386301059
Certification Date:
2021-11-17

Authorized Person:

Name:
TERRY JOHNSON
Role:
HUMAN RESOURCE MANAGER
Phone:

Taxonomy:

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

Contacts:

Fax:
6019143012

Filings

Type Status Filed Date Description
Non-Profit Status Report Filed 2024-02-12 Status Report For CENTRAL MISSISSIPPI HEALTH SERVICES, INC.
Non-Profit Status Report Filed 2023-04-10 Status Report For CENTRAL MISSISSIPPI HEALTH SERVICES, INC.
Non-Profit Status Report Filed 2022-04-14 Status Report For CENTRAL MISSISSIPPI HEALTH SERVICES, INC.
Non-Profit Status Report Filed 2022-03-09 Status Report For CENTRAL MISSISSIPPI HEALTH SERVICES, INC.
Non-Profit Status Report Filed 2021-05-20 Status Report For CENTRAL MISSISSIPPI HEALTH SERVICES, INC.
See File Filed 1982-10-15 See File
Undetermined Event Filed 1981-12-08 Undetermined Event
Name Reservation Form Filed 1981-12-07 Name Reservation

USAspending Awards / Financial Assistance

Date:
2023-08-29
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 BRIDGE ACCESS PROGRAM
Obligated Amount:
35118.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-08-24
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 EXPANDING COVID-19 VACCINATION
Obligated Amount:
131616.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-09-20
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HEALTH CENTER INFRASTRUCTURE SUPPORT
Obligated Amount:
568563.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-09-10
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2021 ENDING THE HIV EPIDEMIC - PRIMARY CARE HIV PREVENTION
Obligated Amount:
1514984.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-03-27
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
AMERICAN RESCUE PLAN ACT FUNDING FOR HEALTH CENTERS
Obligated Amount:
1634625.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
64-0426295
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:
1983-01
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
611445
Current Approval Amount:
611445
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
615962.9
Date Approved:
2021-03-20
Loan Status:
Charged Off
SBA Guaranty Percentage:
100
Initial Approval Amount:
680377
Current Approval Amount:
680377
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered

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Date of last update: 19 Apr 2025

Sources: Mississippi Secretary of State