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VICKSBURG HEALTHCARE, LLC

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Company Details

Name: VICKSBURG HEALTHCARE, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 04 Sep 1998 (27 years ago)
Business ID: 660932
State of Incorporation: DELAWARE
Principal Office Address: 4000 Meridian BlvdFranklin, TN 37067
Historical names: River Region Medical Center DBA
River Region Health Systems DBA
Merit Health River Region
Merit Health River Region West

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 109 Executive Drive, Suite 3, Madison, MS 39110

Member

Name Role Address
River Region Medical Corporation Member 4000 Meridian Blvd, Franklin, TN 37067

Manager

Name Role Address
Justin D. Pitt Manager 4000 Meridian Blvd., Franklin, TN 37067
W. Bradley Cash Manager 4000 Meridian Blvd., Franklin, TN 37067
Kevin J. Hammons Manager 4000 Meridian Blvd., Franklin, TN 37067

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:
XX65F3XFM1Q3
CAGE Code:
1PWL2
UEI Expiration Date:
2025-08-19

Business Information

Activation Date:
2024-08-21
Initial Registration Date:
2001-09-07

National Provider Identifier

NPI Number:
1639799430
Certification Date:
2020-04-21
Link:
View on NPI website

Authorized Person:

Name:
JAMES P WRIGHT
Role:
VP PHYSICIAN BUSINESS SERVICES
Phone:
6157781502

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
Yes

Contacts:

Phone:
+1 601-883-5000

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-04 Annual Report For VICKSBURG HEALTHCARE, LLC
Annual Report LLC Filed 2024-04-14 Annual Report For VICKSBURG HEALTHCARE, LLC
Annual Report LLC Filed 2023-04-04 Annual Report For VICKSBURG HEALTHCARE, LLC
Amendment Form Filed 2022-06-02 Amendment For VICKSBURG HEALTHCARE, LLC
Annual Report LLC Filed 2022-04-15 Annual Report For VICKSBURG HEALTHCARE, LLC
Annual Report LLC Filed 2021-04-12 Annual Report For VICKSBURG HEALTHCARE, LLC
Annual Report LLC Filed 2020-02-08 Annual Report For VICKSBURG HEALTHCARE, LLC
Annual Report LLC Filed 2019-04-05 Annual Report For VICKSBURG HEALTHCARE, LLC
Annual Report LLC Filed 2018-04-03 Annual Report For VICKSBURG HEALTHCARE, LLC
Annual Report LLC Filed 2017-04-07 Annual Report For VICKSBURG HEALTHCARE, LLC

USAspending Awards / Contracts

Procurement Instrument Identifier:
W912HZ19C0045
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DEFINITIVE CONTRACT
Action Obligation:
63881.00
Base And Exercised Options Value:
63881.00
Base And All Options Value:
367009.00
Awarding Agency Name:
Department of Defense
Performance Start Date:
2019-08-30
Description:
BASE YEAR PHYSICIAN SERVICES U4D0000
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q999: MEDICAL- OTHER
Procurement Instrument Identifier:
W912EE18P0066
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
97620.00
Base And Exercised Options Value:
97620.00
Base And All Options Value:
97620.00
Awarding Agency Name:
Department of Defense
Performance Start Date:
2018-09-12
Description:
PHYSICIAN SERVICES TO INCLUDE EMPLOYEE PHYSICALS
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q999: MEDICAL- OTHER
Procurement Instrument Identifier:
W912HZ14C0010
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DEFINITIVE CONTRACT
Action Obligation:
57864.00
Base And Exercised Options Value:
57864.00
Base And All Options Value:
301104.00
Awarding Agency Name:
Department of Defense
Performance Start Date:
2014-06-26
Description:
IGF::OT::IGF PHYSICIAN SERVICES U4D0000
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q999: MEDICAL- OTHER

OSHA's Inspections within Industry

Inspection Summary

Date:
2022-05-13
Type:
FollowUp
Address:
2100 U.S. 61, VICKSBURG, MS, 39183
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2022-05-13
Type:
FollowUp
Address:
1111 N FRONTAGE RD, VICKSBURG, MS, 39180
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2021-08-19
Type:
Fat/Cat
Address:
1111 N FRONTAGE ROAD, VICKSBURG, MS, 39180
Safety Health:
Health
Scope:
Partial

Inspection Summary

Date:
2021-05-11
Type:
Planned
Address:
2100 U.S. 61, VICKSBURG, MS, 39183
Safety Health:
Health
Scope:
Partial

Court Cases

Court Case Summary

Filing Date:
2023-08-11
Status:
Pending
Nature Of Judgment:
Missing
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Other Contract Actions

Parties

Party Name:
VICKSBURG HEALTHCARE, LLC
Party Role:
Plaintiff
Party Name:
KPC PROMISE HOSPITAL OF,
Party Role:
Defendant

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River Region Medical Corporation

THE VICKSBURG CLINIC LLC Vicksburg Surgical Center, LLC

Justin D. Pitt

OLIVE BRANCH HOSPITAL, INC. PROFESSIONAL ACCOUNT SERVICES, INC. RIVER REGION MEDICAL CORPORATION OLIVE BRANCH CLINIC CORP. QHG OF HATTIESBURG, INC. QHG OF FORREST COUNTY, INC. WESLEY HEALTH SYSTEM LLC THE VICKSBURG CLINIC LLC THE SURGERY CENTER, LLC WASHINGTON HOSPITAL CORPORATION

W. Bradley Cash

OLIVE BRANCH HOSPITAL, INC. RIVER REGION MEDICAL CORPORATION OLIVE BRANCH CLINIC CORP. QHG OF HATTIESBURG, INC. QHG OF FORREST COUNTY, INC. WESLEY HEALTH SYSTEM LLC THE VICKSBURG CLINIC LLC THE SURGERY CENTER, LLC WASHINGTON HOSPITAL CORPORATION WASHINGTON CLINIC CORP

Kevin J. Hammons

OLIVE BRANCH HOSPITAL, INC. PROFESSIONAL ACCOUNT SERVICES, INC. RIVER REGION MEDICAL CORPORATION COMMUNITY HEALTH CARE PARTNERS, INC. OLIVE BRANCH CLINIC CORP. QHG OF HATTIESBURG, INC. QHG OF FORREST COUNTY, INC. WESLEY HEALTH SYSTEM LLC THE VICKSBURG CLINIC LLC THE SURGERY CENTER, LLC

Related by address

4000 Meridian BlvdFranklin, TN 37067

RIVER REGION MEDICAL CORPORATION COMMUNITY HEALTH CARE PARTNERS, INC. QHG OF HATTIESBURG, INC. QHG OF FORREST COUNTY, INC. WESLEY HEALTH SYSTEM LLC THE VICKSBURG CLINIC LLC THE SURGERY CENTER, LLC REGIONAL CARDIOLOGY CENTER, L.L.C. RANKIN CARDIOLOGY CENTER, LLC

Date of last update: 02 May 2025

Sources: Company Profile on Mississippi Secretary of State Website

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