| Name: | Fort Payne Clinic Corp. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 23 Feb 2006 (19 years ago) (Companies founded in February 2006) |
| Entity Number: | 000-245-902 |
| Register Number: | 000245902 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Authorized Capital: | $10 |
Activities
HEALTH CARE FACILITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326521345 | 2018-09-14 | 2023-07-07 | PO BOX 5009, BRENTWOOD, TN, 370245009, US | 2605 GAULT AVE N STE 200, FORT PAYNE, AL, 359673700, US | |||||||||||||||||||
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| Phone | +1 615-221-3851 |
| Fax | 6152211484 |
| Phone | +1 256-979-1550 |
| Fax | 2569791558 |
Authorized person
| Name | LAURA J FEY |
| Role | SR. DIRECTOR PHYSICIAN REV CYCLE |
| Phone | 6152213641 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
| Name | Role |
|---|---|
| KECK, ROBIN J | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
