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Montgomery Family Clinic, LLC

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Company Details

Name: Montgomery Family Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 13 Jan 2011 (14 years ago)
Business ID: 977085
State of Incorporation: MISSISSIPPI
Principal Office Address: 122 Weisenberger RoadMadison, MS 39100

Agent

Name Role Address
Montgomery, Susan Agent 513 Lake Hollow, Madison, MS 39110

Member

Name Role Address
Susan Montgomery Member 117 Eagle Cv, Madison, MS 39110

National Provider Identifier

NPI Number:
1235429648

Authorized Person:

Name:
DR. SUSAN L MONTGOMERY
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6017909098

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-12-01 Action of Intent to Dissolve: AR: Montgomery Family Clinic, LLC
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: Montgomery Family Clinic, LLC
Annual Report LLC Filed 2023-06-27 Annual Report For Montgomery Family Clinic, LLC
Annual Report LLC Filed 2022-06-16 Annual Report For Montgomery Family Clinic, LLC
Annual Report LLC Filed 2021-05-04 Annual Report For Montgomery Family Clinic, LLC
Annual Report LLC Filed 2020-01-08 Annual Report For Montgomery Family Clinic, LLC
Annual Report LLC Filed 2019-04-19 Annual Report For Montgomery Family Clinic, LLC
Reinstatement Filed 2018-01-03 Reinstatement For Montgomery Family Clinic, LLC
Admin Dissolution Filed 2017-12-06 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2017-09-06 Notice to Dissolve/Revoke

USAspending Awards / Financial Assistance

Date:
2020-06-08
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
5000.00
Total Face Value Of Loan:
5000.00

Paycheck Protection Program

Date Approved:
2020-06-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
5000
Current Approval Amount:
5000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
5044.03

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Date of last update: 10 May 2025

Sources: Company Profile on Mississippi Secretary of State Website