| Name: | Southeast Alabama Rural Health Associates |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 03 Dec 1986 (38 years ago) (Companies founded in December 1986) |
| Entity Number: | 000-065-252 |
| Register Number: | 000065252 |
| Historical Names: |
Tri-County Rural Health Association
Southeast Alabama Rural Health Association |
| ZIP code: | 36079 (Companies in Pike, 36079) |
| County: | Pike |
| Place of Formation: | Pike County |
| Registered Office Street Address: | 1414 ELBA HWYTROY, AL 36079 |
Activities
HEALTH CARE FACILITIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548846926 | 2021-03-24 | 2022-12-16 | 1414 ELBA HWY, TROY, AL, 360796020, US | 100 W LAKE PROFESSIONAL PARK STE 3, GENEVA, AL, 363401200, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 334-670-6726 |
| Fax | 3346706731 |
| Phone | +1 334-684-8905 |
| Fax | 3346848908 |
Authorized person
| Name | PAMYLON GATLIN BOWERS |
| Role | CEO |
| Phone | 3346706726 |
Taxonomy
| Taxonomy Code | 261QF0400X - Federally Qualified Health Center (FQHC) |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES 403(B) PLAN | 2009 | 631178135 | 2010-08-04 | SOUTHEAST ALABAMA RURAL HEALTH ASSOCIATES | 45 | |||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 631178135 |
| Plan administrator’s name | SOUTHEAST ALABAMA RURAL HEALTH ASSO |
| Plan administrator’s address | 1414 ELBA HIGHWAY, TROY, AL, 36079 |
| Administrator’s telephone number | 3346706726 |
Signature of
| Role | Plan administrator |
| Date | 2010-08-04 |
| Name of individual signing | JOHN A. LITTLE |
| Name | Role |
|---|---|
| SOUTHEAST ALABAMA RURAL HEALTH ASSOC | Agent |
| Name | Role | Address |
|---|---|---|
| CLOWER, GIBSON | Director | No data |
| WESTON, CHARLES | Director | No data |
| JOHNSON, R R | Director | No data |
| WARE, ANNIE MAE | Director | No data |
| PRICE, LOUISE H | Director | ROUTE 2 BOX 245CLAYTON, AL 36016 |
| EILAND, GLYNN W | Director | 405 WILSON DRIVETROY, AL 36081 |
| FAISON, LANELL | Director | No data |
| REYNOLDS, ELVIRA | Director | 104 HOMEWOOD AVENUETROY, AL 36081 |
| BOYKIN, R D | Director | 105 GAMBLE STREETTROY, AL 36081 |
| WARREN, B T | Director | 410 LAKE DRIVETROY, AL 36081 |
| Name | Role | Address |
|---|---|---|
| CLOWER, GIBSON | Incorporator | No data |
| WESTON, CHARLES | Incorporator | No data |
| JOHNSON, R R | Incorporator | No data |
| WARE, ANNIE MAE MRS | Incorporator | No data |
| PRICE, LOUISE H | Incorporator | ROUTE 2 BOX 245CLAYTON, AL 36016 |
| EILAND, GLYNN W | Incorporator | 405 WILSON DRIVETROY, AL 36081 |
| FAISON, LANELL MRS | Incorporator | No data |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2001-04-10 | Name Change | Southeast Alabama Rural Health Association | Southeast Alabama Rural Health Associates |
| 1987-02-05 | Name Change | Tri-County Rural Health Association | Southeast Alabama Rural Health Association |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
