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BIENVILLE MEDICAL CLINIC, PLLC

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Company Details

Name: BIENVILLE MEDICAL CLINIC, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 02 Feb 2001 (24 years ago)
Business ID: 697556
ZIP code: 39564
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 11 Doctors DrOcean Springs, MS 39564

Agent

Name Role Address
WILLIAM L STRIEGEL MD Agent #11 DOCTOR'S DRIVE, OCEAN SPRINGS, MS 39564

Member

Name Role Address
Terri L Cook Member 11 Doctors Dr, OCEAN SPRINGS, MS 39564

President

Name Role Address
William L Striegel MD President 11 Doctors Drive, OCEAN SPRINGS, MS 39564

National Provider Identifier

NPI Number:
1639437411
Certification Date:
2022-07-26

Authorized Person:

Name:
DR. WILLIAM L STRIEGEL
Role:
OWNER/PRESIDENT - SOLE PROPRIETOR
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
174400000X - Specialist
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2288751335

Form 5500 Series

Employer Identification Number (EIN):
640920664
Plan Year:
2018
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Type Status Filed Date Description
Dissolution Filed 2023-10-03 Dissolution For BIENVILLE MEDICAL CLINIC, PLLC
Annual Report LLC Filed 2023-01-20 Annual Report For BIENVILLE MEDICAL CLINIC, PLLC
Annual Report LLC Filed 2022-03-07 Annual Report For BIENVILLE MEDICAL CLINIC, PLLC
Annual Report LLC Filed 2021-09-17 Annual Report For BIENVILLE MEDICAL CLINIC, PLLC
Notice to Dissolve/Revoke Filed 2021-09-07 Notice of Intent to Dissolve: AR: BIENVILLE MEDICAL CLINIC, PLLC
Annual Report LLC Filed 2020-01-28 Annual Report For BIENVILLE MEDICAL CLINIC, PLLC
Reinstatement Filed 2019-09-05 Reinstatement For BIENVILLE MEDICAL CLINIC, PLLC
Admin Dissolution Filed 2018-12-10 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report LLC Filed 2017-04-20 Annual Report For BIENVILLE MEDICAL CLINIC, PLLC

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
47272.00
Total Face Value Of Loan:
47272.00

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
47272
Current Approval Amount:
47272
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
47663.31

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Date of last update: 03 May 2025

Sources: Company Profile on Mississippi Secretary of State Website