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Evergreen Family Medical Clinic, Inc.

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Company Details

Name: Evergreen Family Medical Clinic, Inc.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 27 Sep 2007 (18 years ago)
Business ID: 919907
ZIP code: 38858
County: Monroe
State of Incorporation: MISSISSIPPI
Principal Office Address: 4929 Hwy 371 SNettleton, MS 38858

Incorporator

Name Role Address
Cythina J Rushing Incorporator 1681 Woodland Cove, Belden, MS 38826

Director

Name Role Address
Cynthia J Rushing Director 1681 Woodland Cove, Belden, MS 38826

President

Name Role Address
Cynthia J Rushing President 1681 Woodland Cove, Belden, MS 38826

Secretary

Name Role Address
Cynthia J Rushing Secretary 1681 Woodland Cove, Belden, MS 38826

Treasurer

Name Role Address
Catherine Beaird Treasurer 104 Pecan St, Eupora, MS 39744

Vice President

Name Role Address
Catherine Beaird Vice President 104 Pecan St, Eupora, MS 39744

National Provider Identifier

NPI Number:
1689860629

Authorized Person:

Name:
MRS. CYNTHIA JEANESSE RUSHING
Role:
CFNP/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6629639157

Filings

Type Status Filed Date Description
Agent Resignation Filed 2018-05-17 Agent Resignation For Rackley, Mary Jane
Admin Dissolution Filed 2011-12-05 Admin Dissolution
Notice to Dissolve/Revoke Filed 2011-07-25 Notice to Dissolve/Revoke
Annual Report Filed 2010-08-26 Annual Report
Notice to Dissolve/Revoke Filed 2010-01-25 Notice to Dissolve/Revoke
Annual Report Filed 2009-06-25 Annual Report
Annual Report Filed 2008-07-25 Annual Report
Formation Form Filed 2007-09-27 Formation

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Date of last update: 07 May 2025

Sources: Company Profile on Mississippi Secretary of State Website