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Mississippi PHS PC

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Company Details

Name: Mississippi PHS PC
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 27 Jul 2009 (16 years ago)
Business ID: 952746
State of Incorporation: MISSISSIPPI
Principal Office Address: 1509 Dulles DriveLafayette, LA 70506

Agent

Name Role Address
NATIONAL REGISTERED AGENTS INC Agent 645 Lakeland East Drive, Suite 101, Flowood, MS 39232

Director

Name Role Address
Dana Nash MD Director 111 Chase Street, Byhalia, MS 38611

President

Name Role Address
Dana Nash President 111 Chase Street, Byhalia, MS 38611

Incorporator

Name Role Address
Robert C McEachern Iii Incorporator 713 S Pear Orchard Rd Plaza Ii Ste 307, Ridgeland, MS 39157

Treasurer

Name Role Address
Nicole Howard Treasurer 1509 Dulles Drive, Lafayette, LA 70506

National Provider Identifier

NPI Number:
1326278615

Authorized Person:

Name:
NICOLE HOWARD
Role:
CFO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3379919288
Fax:
9012614849

Filings

Type Status Filed Date Description
Dissolution Filed 2015-11-02 Dissolution For Mississippi PHS PC
Annual Report Filed 2015-10-05 Annual Report For Mississippi PHS PC
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Amendment Form Filed 2015-05-27 Amendment For Mississippi PHS PC
Annual Report Filed 2014-09-05 Annual Report For Mississippi PHS PC
Annual Report Filed 2013-04-30 Annual Report
Annual Report Filed 2012-03-13 Annual Report
Amendment Form Filed 2011-10-20 Amendment
Annual Report Filed 2011-02-21 Annual Report
Amendment Form Filed 2010-11-23 Amendment

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Date of last update: 27 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website