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Tallahatchie General Hospital Medical Foundation

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Company Details

Name: Tallahatchie General Hospital Medical Foundation
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 21 Apr 2011 (14 years ago)
Business ID: 982191
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Blackwood, Jim Agent 201 South Market Street, Charleston, MS 38921

Incorporator

Name Role Address
Jim Blackwood Incorporator 201 South Market Street, Charleston, MS 38921

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
R3ZLMAQ2VT68
CAGE Code:
7Z1C0
UEI Expiration Date:
2026-05-19

Business Information

Activation Date:
2025-05-21
Initial Registration Date:
2017-09-25

National Provider Identifier

NPI Number:
1568040517
Certification Date:
2021-03-09
Link:
View on NPI website

Authorized Person:

Name:
DR. CATHERINE DANE MORING
Role:
EXECUTIVE DIRECTOR
Phone:
5012765459

Taxonomy:

Selected Taxonomy:
133VN1201X - Obesity and Weight Management Nutrition Registered Dietitian
Is Primary:
No
Selected Taxonomy:
163WD0400X - Diabetes Educator Registered Nurse
Is Primary:
No
Selected Taxonomy:
133V00000X - Registered Dietitian
Is Primary:
Yes

Contacts:

Phone:
+1 501-276-5459
Fax:
6626253024

Filings

Type Status Filed Date Description
Formation Form Filed 2011-04-21 Formation

USAspending Awards / Financial Assistance

Date:
2023-08-01
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL HEALTH NETWORK DEVELOPMENT PROGRAM - THE NORTHWEST MISSISSIPPI DIABETES NETWORK (NETWORK) APPLICANT: TALLAHATCHIE GENERAL HOSPITAL MEDICAL FOUNDATION | 141 DR. TT LEWIS CIRCLE, CHARLESTON, MISSISSIPPI, 38921 | WEBSITE: WWW.MYTGH.COM | WWW.JCKWELLNESS.COM PROJECT DIRECTOR: DR. CATHERINE MORING | 501-276-5459 | FAX: 662-625-3024 | CMORING@MYTGH.COM FOCUS AREAS: PRIMARY CARE, TELEHEALTH, BEHAVIORAL HEALTH, WELLNESS AND PREVENTION STRATEGIES, CHRONIC DISEASE (DIABETES) PREVENTION AND EDUCATION TARGET POPULATION: THE SERVICE AREA IS 20 COUNTIES IN NORTHWEST MISSISSIPPI. THE PROJECT WILL SERVE THE ESTIMATED 176,000 PEOPLE WITH PREDIABETES AND THE 66,000 WITH DIABETES AS WELL AS HEALTH CARE PROVIDERS, HEALTH CARE FACILITIES, AND WORKSITES IN THE SERVICE AREA. NETWORK MEMBERS: THE NETWORK IS COMPRISED OF SIX ORGANIZATIONS INCLUDING A NON-PROFIT 501C3 HOSPITAL FOUNDATION, A CRITICAL ACCESS HOSPITAL (AND THREE ASSOCIATED RURAL HEALTH CLINICS), A UNIVERSITY OF HIGHER EDUCATION, A COLLEGE OF OSTEOPATHIC MEDICINE, A LARGE HOSPITAL SYSTEM (AND ASSOCIATED CLINICS AND INTERNAL MEDICINE RESIDENCY PROGRAM), AND A 501C3 NON-PROFIT RESEARCH INSTITUTE. GOAL: THE OVERARCHING GOALS ARE TO EFFECTIVELY ADDRESS AND REDUCE THE MASSIVE BURDEN AND COST OF DIABETES IN THE SERVICE AREA, POSITION CLINICS AND HEALTH CARE PROVIDERS TO PROVIDE EFFECTIVE AND EXCELLENT DIABETES CARE, AND TO IMPROVE POPULATION HEALTH WITH A FOCUS ON DIABETES DIAGNOSTICS, PREVENTION, AND MANAGEMENT, AS WELL AS BEHAVIORAL HEALTH. NEED: THE SERVICE AREA IS EXTREMELY RURAL, VASTLY UNDERSERVED, AND PLAGUED WITH POVERTY AND ASSOCIATED HEALTH CHALLENGES. RESIDENTS HISTORICALLY SUFFER FROM POORER HEALTH OUTCOMES, HEALTH DISPARITIES, AND OTHER INEQUALITIES AS COMPARED TO THEIR URBAN AND EVEN OTHER RURAL COUNTERPARTS. THIS AREA HAS THE HIGHEST RATE OF DIABETES IN THE NATION PRECIPITATING A TROUBLING DIABETES EPIDEMIC. ACCESS TO DIABETES CARE, SPECIALTY HEALTH CARE, BEHAVIORAL HEALTH CARE, AND DIABETES SUPPORT SERVICES IS SEVERELY LIMI TED. AS SUCH, THERE IS TREMENDOUS NEED FOR INCREASED ACCESS TO QUALITY DIABETES AND BEHAVIORAL HEALTH CARE, INCREASED ACCESS TO PATIENT EDUCATION AND DIABETES SUPPORT SERVICES, AND IMPROVED DIABETES DIAGNOSTICS TO DETECT UNDIAGNOSED DIABETES AND PREDIABETES AND PROVIDE APPROPRIATE CARE EARLY IN THE DISEASE PROCESS. EXPECTED OUTCOMES: THE NETWORK WILL IMPROVE ACCESS TO AND QUALITY OF DIABETES CARE THROUGH SUSTAINABLE HEALTH PROGRAMS, TELEHEALTH, AND THE UTILIZATION OF EVIDENCE-BASED AND PROMISING PRACTICE MODELS. BY EXPANDING THE CAPACITY OF AND SERVICES FOR DIABETES AND BEHAVIORAL HEALTH CARE, THE NETWORK WILL DEMONSTRATE IMPROVED HEALTH OUTCOMES, REDUCED HEALTH CARE COSTS, AND SIGNIFICANT POSITIVE COMMUNITY IMPACT. ACTIVITIES: 1) INCREASE ACCESS TO DIABETES CARE AND COACHING SERVICES USING TELEHEALTH MODALITIES; 2) INCREASE ACCESS TO BEHAVIORAL HEALTH CARE USING TELEHEALTH MODALITIES; 3) CREATE A ROBUST NETWORK OF HEALTH CARE PROVIDERS COMMITTED TO PROVIDING EXCELLENCE IN DIABETES CARE; 4) PROVIDE FREQUENT ADVANCED LEVEL TRAINING AND EDUCATION TO ALL HEALTH CARE PROVIDERS ON SUBJECT MATTER SPECIFIC TO DIABETES CARE; 5) CONDUCT FREQUENT WORKSITE AND COMMUNITY SCREENINGS TO IDENTITY DIABETES AND PREDIABETES EARLIER IN THE DISEASE PROCESS - AND PROVIDE APPROPRIATE FOLLOW UP CARE AND SUPPORT; AND 6) CREATE POLICIES AND PROCEDURES WITHIN CLINICS TO IMPROVE DIABETES DIAGNOSTICS. SERVICES INCLUDE DIABETES CARE AND SELF-MANAGEMENT SUPPORT SERVICES, DIABETES PREVENTION PROGRAM, BEHAVIORAL HEALTH SERVICES, REMOTE PATIENT MONITORING, DIABETES TESTING AND SCREENING, AND ADVANCED LEVEL DIABETES TRAINING FOR HEALTH CARE PROVIDERS. FUNDING PREFERENCE: THE NETWORK IS REQUESTING A FUNDING PREFERENCE BASED ON QUALIFICATIONS 1, 2 AND 3. ALL 20 COUNTIES ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS AND MEDICALLY UNDERSERVED AREAS. A FOCUS OF THE PROJECT IS ALSO ON PRIMARY CARE, WELLNESS AND PREVENTION STRATEGIES. FUNDS ARE REQUESTED FROM THE RURAL HEALTH NETWORK DEVELOP MENT PROGRAM.
Obligated Amount:
600000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2021-06-04
Link:
View on USAspending
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
RURAL HEALTH CARE SERVICES OUTREACH GRANT PROGRAM
Obligated Amount:
795568.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-11
Link:
View on USAspending
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:
56800.00
Total Face Value Of Loan:
56800.00

Tax Exempt

Employer Identification Number (EIN) :
45-1284016
In Care Of Name:
% JIM BLACKWOOD
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Educational Organization, Local Association of Employees, Agricultural Organization, Horticultural Organization, Board of Trade, Business League, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Voluntary Employees' Beneficiary Association (Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Mutual Ditch or Irrigation Co., Burial Association, Cemetery Company, Credit Union, Other Mutual Corp. or Assoc., Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2011-11
National Taxonomy Of Exempt Entities:
Health Care: Public Health Program (Includes General Health and Wellness Promotion Services)
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

Link:
Download file

Paycheck Protection Program

Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
56800
Current Approval Amount:
56800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
57179.7

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Date of last update: 10 May 2025

Sources: Company Profile on Mississippi Secretary of State Website

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