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FAMILY HEALTH CENTER

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Company Details

Name: FAMILY HEALTH CENTER
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 02 Sep 1986 (39 years ago)
Business ID: 561114
ZIP code: 39440
County: Jones
State of Incorporation: MISSISSIPPI
Principal Office Address: 117 South 11th AveLaurel, MS 39440

Agent

Name Role Address
Johnson, Coney L. Agent 117 South 11th Ave;PO Box 4361, Laurel, MS 39440

Chairman

Name Role Address
Dyann Mizell Chairman 18243 Hwy 28 East, Taylorsville, MS 39168

Secretary

Name Role Address
Joan Young Secretary 2010 West 12th Street, Laurel, MS 39440

Member

Name Role Address
George Barnes Member 2965 North 5th Ave, Laurel, MS 39440

Unique Entity ID

Unique Entity ID:
JQNZLNRXNYP8
CAGE Code:
4KS55
UEI Expiration Date:
2025-10-17

Business Information

Doing Business As:
FAMILY HEALTH CENTER INC
Division Name:
FAMILY HEALTH CENTER
Activation Date:
2024-10-22
Initial Registration Date:
2006-10-20

Commercial and government entity program

CAGE number:
4KS55
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-10-22
CAGE Expiration:
2029-10-22
SAM Expiration:
2025-10-17

Contact Information

POC:
RASHAD N.. ALI
Corporate URL:
www.laurelfamilyhealthcenter.com

National Provider Identifier

NPI Number:
1932739034
Certification Date:
2020-01-17

Authorized Person:

Name:
DR. RASHAD N. ALI
Role:
CHIEF EXECUTIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
347B00000X - Bus
Is Primary:
No
Selected Taxonomy:
261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
640732896
Plan Year:
2023
Number Of Participants:
132
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
116
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
114
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
119
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
96
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Formation Form Filed 2013-08-19 Formation
Amendment Form Filed 1989-02-02 Amendment
Name Reservation Form Filed 1986-09-02 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:
65592.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2023-05-18
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
FY 2023 EXPANDING COVID-19 VACCINATION
Obligated Amount:
210726.00
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:
643682.00
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:
2808448.24
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-02-11
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:
884477.00
Total Face Value Of Loan:
884477.00

Tax Exempt

Employer Identification Number (EIN) :
64-0732896
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:
1990-06
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Paycheck Protection Program

Jobs Reported:
131
Initial Approval Amount:
$884,477
Date Approved:
2021-02-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$884,477
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$891,746.67
Servicing Lender:
Loan Source Incorporated
Use of Proceeds:
Payroll: $884,477
Jobs Reported:
158
Initial Approval Amount:
$934,955
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$934,955
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$941,239.98
Servicing Lender:
Cadence Bank
Use of Proceeds:
Payroll: $934,955

Court Cases

Court Case Summary

Filing Date:
2020-12-02
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Both plaintiff and defendant demand jury
Nature Of Suit:
Other Contract Actions

Parties

Party Role:
Plaintiff
Party Name:
FAMILY HEALTH CENTER
Party Role:
Defendant

Court Case Summary

Filing Date:
2007-10-24
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Missing
Nature Of Suit:
Americans with Disabilities Act - Employment

Parties

Party Name:
Party Role:
Plaintiff
Party Name:
FAMILY HEALTH CENTER
Party Role:
Defendant

Court Case Summary

Filing Date:
2007-10-24
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Missing
Nature Of Suit:
Americans with Disabilities Act - Employment

Parties

Party Name:
HUMES-POLLETT
Party Role:
Plaintiff
Party Name:
FAMILY HEALTH CENTER
Party Role:
Defendant

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Date of last update: 16 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website