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COMMUNITY HEALTH CLINIC, INC.

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Company Details

Name: COMMUNITY HEALTH CLINIC, INC.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 26 Feb 1992 (33 years ago)
Business ID: 586404
ZIP code: 38754
County: Humphreys
State of Incorporation: MISSISSIPPI
Principal Office Address: 102 JULIA STISOLA, MS 38754

Agent

Name Role Address
BOBBIE MILLER Agent 102 JULIA ST, P O BOX 553, ISOLA, MS 38754

Director

Name Role Address
HELEN CONNOR Director 102 JULIA ST, ISOLA, MS 38754
JOYCE SUGG Director 102 JULIA ST, ISOLA, MS 38754
SHEILA MILLER Director 102 JULIA ST, ISOLA, MS 38754
BESSIE BROWN Director 102 JULIA ST, ISOLA, MS 38754
JESSE M STEWART Director 102 JULIA ST, ISOLA, MS 38754
DURANTO BULLOCK Director 102 JULIA ST, ISOLA, MS 38754
BEATRICE ROUND Director 102 JULIA ST, ISOLA, MS 38754
LINDA WILLIAMS Director 102 JULIA ST, ISOLA, MS 38754
VERNITA M JAMES Director 102 JULIA ST, ISOLA, MS 38754

Incorporator

Name Role Address
SHEILA MILLER Incorporator 102 JULIA ST, ISOLA, MS 38754

National Provider Identifier

NPI Number:
1982902458

Authorized Person:

Name:
BOBBIE G MILLER
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6629622575

Filings

Type Status Filed Date Description
Name Reservation Form Filed 1992-02-26 Name Reservation

OSHA's Inspections within Industry

Inspection Summary

Date:
2013-01-24
Type:
Planned
Address:
1123 HWY 35 SOUTH, FOREST, MS, 39074
Safety Health:
Health
Scope:
Partial

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Date of last update: 22 Apr 2025

Sources: Mississippi Secretary of State