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Patients' Choice Medical Center of Humphreys County, LLC

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Company Details

Name: Patients' Choice Medical Center of Humphreys County, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 18 Jan 2008 (17 years ago)
Business ID: 925636
ZIP code: 39038
County: Humphreys
State of Incorporation: MISSISSIPPI
Principal Office Address: 500 CC ROADBELZONI, MS 39038
Historical names: Patients Choice Clinic of Blezoni DBA

Agent

Name Role Address
Kemp, Elston Charles Agent 431 West Main Street, Suite 410;P O Box 1807, Tupelo, MS 38802

Member

Name Role Address
Team Health, Inc. Member PO Box 1807, Tupelo, MS 38802
Rural Healthcare Developers, Inc Member PO BOX 489, TUPELO, MS 38862

National Provider Identifier

NPI Number:
1366628927

Authorized Person:

Name:
MR. RAY SHOEMAKER
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2014-12-20 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Annual Report LLC Filed 2013-05-30 Annual Report LLC
Annual Report LLC Filed 2012-10-01 Annual Report LLC
Notice to Dissolve/Revoke Filed 2012-09-14 Notice to Dissolve/Revoke
Amendment Form Filed 2012-07-03 Amendment
Amendment Form Filed 2012-05-04 Amendment
Annual Report LLC Filed 2011-10-17 Annual Report LLC
See File Filed 2011-10-13 See File
Formation Form Filed 2008-01-18 Formation

USAspending Awards / Financial Assistance

Date:
2010-07-29
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT
Obligated Amount:
0.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2008-09-26
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
HEALTH CARE AND OTHER FACILITIES
Obligated Amount:
165360.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 07 May 2025

Sources: Company Profile on Mississippi Secretary of State Website