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FOUNDATION INTERNAL MEDICINE, P.C.

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Company Details

Name: FOUNDATION INTERNAL MEDICINE, P.C.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 09 Aug 2000 (25 years ago)
Business ID: 690502
ZIP code: 38671
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 8869 Centre Street, Suite ASouthaven, MS 38671

Incorporator

Name Role Address
Kenneth Osita Edmunds Incorporator 401 Southcrest, Southaven, MS 38671

Director

Name Role Address
Kenneth Osita Edmunds Director 401 Southcrest, Southaven, MS 38671

President

Name Role Address
Kenneth Osita Edmunds President 8869 Centre Street, Suite A, Southaven, MS 38671
Kenneth Edmunds President 8869 Centre Street, Suite A, Southaven, MS 38671

Agent

Name Role Address
Edmunds, Kenneth O Agent 8869 Centre Street, Suite A, Southaven, MS 38671

National Provider Identifier

NPI Number:
1255531885

Authorized Person:

Name:
DR. KENNETH OSITA EDMUNDS
Role:
MEDICAL DIRECTOR/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6623498603

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2017-12-06 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Annual Report Filed 2016-03-20 Annual Report For FOUNDATION INTERNAL MEDICINE, P.C.
Annual Report Filed 2015-04-15 Annual Report For FOUNDATION INTERNAL MEDICINE, P.C.
Annual Report Filed 2014-05-14 Annual Report
Amendment Form Filed 2013-05-09 Amendment
Annual Report Filed 2013-05-06 Annual Report
Annual Report Filed 2012-05-02 Annual Report
Annual Report Filed 2011-04-18 Annual Report
Annual Report Filed 2010-07-08 Annual Report

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Date of last update: 03 May 2025

Sources: Company Profile on Mississippi Secretary of State Website