| Name: | Three Notch Rural Health, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 08 Sep 1995 (29 years ago) (Companies founded in September 1995) |
| Date of dissolution: | 22 Dec 2022 |
| Entity Number: | 000-174-271 |
| Register Number: | 000174271 |
| Place of Formation: | Covington County |
| Principal Address: | ANDALUSIA, AL |
| Registered Office Street Address: | 835 SOUTH THREE NOTCH STREETANDALUSIA, AL |
| Authorized Capital: | 1,000 NPV |
| Paid Share Capital: | ---- |
Activities
PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811913197 | 2006-07-13 | 2010-01-28 | PO BOX 398, ANDALUSIA, AL, 364201207, US | 835 S THREE NOTCH ST, ANDALUSIA, AL, 364205321, US | |||||||||||||||||||||
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| Phone | +1 334-222-8421 |
| Fax | 3342221248 |
Authorized person
| Name | DR. JOHN F MADDOX |
| Role | PRESIDENT |
| Phone | 3342228421 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 541003876 |
| State | AL |
| Name | Role |
|---|---|
| MADDOX, J F | Agent |
| Name | Role |
|---|---|
| MADDOX, J F | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
