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Potts Camp Family Medical Clinic, LLC

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Company Details

Name: Potts Camp Family Medical Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 27 Aug 2010 (15 years ago)
Business ID: 970995
ZIP code: 38659
County: Marshall
State of Incorporation: MISSISSIPPI
Principal Office Address: 3 REIDS AVEPOTTS CAMP, MS 38659

Agent

Name Role Address
Smith Whaley, P.L.L.C. Agent 120 East College Avenue;Po Drawer 849, Holly Springs, MS 38635

Manager

Name Role Address
Jennifer McMinn Manager PO BOX 88, POTTS CAMP, MS 38632

National Provider Identifier

NPI Number:
1942519517

Authorized Person:

Name:
MRS. ALICE STINE
Role:
BUSINESS MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-08 Annual Report For Potts Camp Family Medical Clinic, LLC
Annual Report LLC Filed 2024-02-05 Annual Report For Potts Camp Family Medical Clinic, LLC
Annual Report LLC Filed 2023-01-05 Annual Report For Potts Camp Family Medical Clinic, LLC
Annual Report LLC Filed 2022-03-02 Annual Report For Potts Camp Family Medical Clinic, LLC
Annual Report LLC Filed 2021-01-18 Annual Report For Potts Camp Family Medical Clinic, LLC
Annual Report LLC Filed 2020-07-29 Annual Report For Potts Camp Family Medical Clinic, LLC
Annual Report LLC Filed 2019-06-03 Annual Report For Potts Camp Family Medical Clinic, LLC
Annual Report LLC Filed 2018-01-09 Annual Report For Potts Camp Family Medical Clinic, LLC
Amendment Form Filed 2017-09-20 Amendment For Potts Camp Family Medical Clinic, LLC
Annual Report LLC Filed 2017-01-25 Annual Report For Potts Camp Family Medical Clinic, LLC

USAspending Awards / Financial Assistance

Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
6000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 09 May 2025

Sources: Company Profile on Mississippi Secretary of State Website