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  5. Baptist Medical Center - Yazoo, Inc.

Baptist Medical Center - Yazoo, Inc.

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Company Details

Name: Baptist Medical Center - Yazoo, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 11 Feb 1993 (32 years ago)
Business ID: 594863
ZIP code: 39194
County: Yazoo
State of Incorporation: MISSISSIPPI
Principal Office Address: 823 Grand AveYazoo City, MS 39194
Fictitious names: Baptist Memorial Hospital - Yazoo
BMC Yazoo Primary Care
Baptist Medical Group-Yazoo Primary Care
Historical names: KDH Primary Care DBA
KING'S DAUGHTERS HOSPITAL OF YAZOO COUNTY, INC.

Agent

Name Role Address
C. T. CORPORATION SYSTEM Agent 645 LAKELAND EAST DRIVE STE 101, FLOWOOD, MS 39232

Incorporator

Name Role Address
D MICHAEL COCKRELL Incorporator 600 HERITAGE BLDG, 401 E CAPITOL ST, JACKSON, MS 39201

President

Name Role Address
Jason Little President 350 North Humphreys Boulevard, Memphis, TN 38120

Secretary

Name Role Address
Gregory M Duckett Secretary 350 North Humphreys Boulevard, Memphis, TN 38120

Director

Name Role Address
Janice Adams Director 117 Dogwood Drive, Yazoo City, MS 39194
Jamey Carter Director 350 N. Humphreys Blvd., Memphis, TN 38120
Vernette Griffin Director 350 N. Humphreys Blvd., Memphis, TN 38120
Ritchie Moore Director 350 N. Humphreys Blvd., Memphis, TN 38120
John Michael Pillow Director 350 N. Humphreys Blvd., Memphis, TN 38120

Chairman

Name Role Address
Janice Adams Chairman 117 Dogwood Drive, Yazoo City, MS 39194

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:
YL1XTFEKLU15
CAGE Code:
8RV46
UEI Expiration Date:
2025-09-04

Business Information

Activation Date:
2024-09-06
Initial Registration Date:
2020-10-23

National Provider Identifier

NPI Number:
1699066746
Certification Date:
2020-09-29
Link:
View on NPI website

Authorized Person:

Name:
GREGORY M DUCKETT
Role:
SR VP/CLO
Phone:
9012275233

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 662-751-8289

Filings

Type Status Filed Date Description
Non-Profit Annual Report Filed 2025-01-06 Annual Report For Baptist Medical Center - Yazoo, Inc.
Fictitious Name Renewal Filed 2024-10-04 Fictitious Name Renewal For Baptist Medical Center - Yazoo, Inc.
Fictitious Name Renewal Filed 2023-10-02 Fictitious Name Renewal For Baptist Medical Center - Yazoo, Inc.
Amendment Form Filed 2023-04-19 Amendment For Baptist Medical Center - Yazoo, Inc.
Fictitious Name Registration Filed 2022-05-27 Fictitious Name Registration For Baptist Medical Center - Yazoo, Inc.
Amendment Form Filed 2021-09-15 Amendment For Baptist Medical Center - Yazoo, Inc.
Non-Profit Status Report Filed 2021-01-13 Status Report For Baptist Medical Center - Yazoo, Inc.
Fictitious Name Registration Filed 2019-09-19 Fictitious Name Registration For Baptist Medical Center - Yazoo, Inc.
Amendment Form Filed 2018-11-30 Amendment For Baptist Medical Center - Yazoo, Inc.
Fictitious Name Registration Filed 2018-07-03 Fictitious Name Registration For Baptist Medical Center - Yazoo, Inc.

USAspending Awards / Financial Assistance

Date:
2009-05-01
Link:
View on USAspending
Awarding Agency Name:
Department of Housing and Urban Development
Transaction Description:
CONT RENEWALS ALL TYPES
Obligated Amount:
100344.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2008-09-08
Link:
View on USAspending
Awarding Agency Name:
Department of Housing and Urban Development
Transaction Description:
NC S202 ELDRLY RR-93
Obligated Amount:
-125190.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Tax Exempt

Employer Identification Number (EIN) :
64-0844470
In Care Of Name:
% DAVID A JACKSON
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:
2015-07
National Taxonomy Of Exempt Entities:
Health Care: Hospital, General
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Link:
Download file
Link:
Download file
Link:
Download file

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Jason Little

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Date of last update: 22 Apr 2025

Sources: Mississippi Secretary of State

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