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Borders-Blackwell Medical & Wellness Corp

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Company Details

Name: Borders-Blackwell Medical & Wellness Corp
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 26 Aug 2010 (15 years ago)
Business ID: 970760
ZIP code: 38732
County: Bolivar
State of Incorporation: MISSISSIPPI
Principal Office Address: 321 South Sharpe Ave, P.O. Box 1998Cleveland, MS 38732

Agent

Name Role Address
Blackwell, Annie Borders- Agent 105 South Blake St.;P. O. Box 44, Winstonville, MS 38781

Incorporator

Name Role Address
Annie B. Blackwell Incorporator 105 South Blake Street, Winstonville, MS 38781

President

Name Role Address
Annie Borders Blackwell President 105 S Blake Ave, Winstonville, MS 38781

Director

Name Role Address
Annie Borders Blackwell Director 105 S Blake Ave, Winstonville, MS 38781

National Provider Identifier

NPI Number:
1023264934

Authorized Person:

Name:
DR. ANNIE BORDERS-BLACKWELL
Role:
CEO/PHYSICIAN
Phone:

Taxonomy:

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

Contacts:

Fax:
6628439100

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2022-11-28 Action of Intent to Dissolve: AR: Borders-Blackwell Medical & Wellness Corp
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: Borders-Blackwell Medical & Wellness Corp
Annual Report Filed 2021-04-01 Annual Report For Borders-Blackwell Medical & Wellness Corp
Annual Report Filed 2020-05-13 Annual Report For Borders-Blackwell Medical & Wellness Corp
Annual Report Filed 2019-08-28 Annual Report For Borders-Blackwell Medical & Wellness Corp
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke
Reinstatement Filed 2018-02-16 Reinstatement For Borders-Blackwell Medical & Wellness Corp
Admin Dissolution Filed 2017-12-06 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke
Annual Report Filed 2016-03-18 Annual Report For Borders-Blackwell Medical & Wellness Corp

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Date of last update: 28 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website