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GREENVILLE FAMILY MEDICAL CENTER, INC.

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Company Details

Name: GREENVILLE FAMILY MEDICAL CENTER, INC.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 25 Jan 1988 (37 years ago)
Business ID: 550343
ZIP code: 38701
County: Washington
State of Incorporation: DELAWARE
Principal Office Address: 1467 Highway 1 SouthGreenville, MS 38701

Agent

Name Role Address
JOE S PULLIAM Agent 1467 HWY ONE SOUTH, P O BOX 4618, GREENVILLE, MS 38701

Director

Name Role Address
Joe S Pulliam Director 365 W Reed Road, Greenville, MS 38701

President

Name Role Address
Joe S Pulliam President 1467 Highway 1 South, Greenville, MS 38701

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Fax Number:
662-335-8128
Contact Person:
MARCIA STOKES
User ID:
P0868128

Commercial and government entity program

CAGE number:
4RY99
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-03-21
CAGE Expiration:
2030-03-21
SAM Expiration:
2026-03-19

Contact Information

POC:
MARCIA G. STOKES

National Provider Identifier

NPI Number:
1932197779
Certification Date:
2025-01-27

Authorized Person:

Name:
DR. JOE S PULLIAM
Role:
PRESIDENT/PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
305R00000X - Preferred Provider Organization
Is Primary:
Yes

Contacts:

Fax:
6623358128

Filings

Type Status Filed Date Description
Annual Report Filed 2025-02-03 Annual Report For GREENVILLE FAMILY MEDICAL CENTER, INC.
Annual Report Filed 2024-03-13 Annual Report For GREENVILLE FAMILY MEDICAL CENTER, INC.
Annual Report Filed 2023-03-03 Annual Report For GREENVILLE FAMILY MEDICAL CENTER, INC.
Annual Report Filed 2022-02-15 Annual Report For GREENVILLE FAMILY MEDICAL CENTER, INC.
Annual Report Filed 2021-03-31 Annual Report For GREENVILLE FAMILY MEDICAL CENTER, INC.
Annual Report Filed 2020-02-17 Annual Report For GREENVILLE FAMILY MEDICAL CENTER, INC.
Annual Report Filed 2019-03-09 Annual Report For GREENVILLE FAMILY MEDICAL CENTER, INC.
Annual Report Filed 2018-03-09 Annual Report For GREENVILLE FAMILY MEDICAL CENTER, INC.
Annual Report Filed 2017-03-14 Annual Report For GREENVILLE FAMILY MEDICAL CENTER, INC.
Annual Report Filed 2016-03-16 Annual Report For GREENVILLE FAMILY MEDICAL CENTER, INC.

USAspending Awards / Contracts

Procurement Instrument Identifier:
12405B24P0208
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
18500.00
Base And Exercised Options Value:
18500.00
Base And All Options Value:
18500.00
Awarding Agency Name:
Department of Agriculture
Performance Start Date:
2024-07-16
Description:
OCCUPATIONAL MEDICAL SURVEILLANCE PROGRAM ANNUAL SERVICE (OMSP)2024
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q201: MEDICAL- MANAGED HEALTHCARE
Procurement Instrument Identifier:
12405B23P0193
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
18500.00
Base And Exercised Options Value:
18500.00
Base And All Options Value:
18500.00
Awarding Agency Name:
Department of Agriculture
Performance Start Date:
2023-06-01
Description:
OCCUPATIONAL MEDICAL SURVEILLANCE PROGRAM (OMSP)
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q201: MEDICAL- GENERAL HEALTH CARE
Procurement Instrument Identifier:
12405B21P0265
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
0.00
Base And Exercised Options Value:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Agriculture
Performance Start Date:
2021-05-19
Description:
OCCUPATIONAL MEDICAL SURVEILLANCE PROGRAM ANNUAL SERVICES FOR EMPLOYEES LOCATED AT THE JWDSRC, STONEVILLE, MS.
Naics Code:
621511: MEDICAL LABORATORIES
Product Or Service Code:
Q301: MEDICAL- LABORATORY TESTING

USAspending Awards / Financial Assistance

Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
233100.00
Total Face Value Of Loan:
233100.00

Paycheck Protection Program

Jobs Reported:
25
Initial Approval Amount:
$233,100
Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$233,100
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$235,086.14
Servicing Lender:
Guaranty Bank & Trust Company
Use of Proceeds:
Payroll: $233,100

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Date of last update: 15 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website