Name: | Fort Payne Hospital Corporation |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 23 Feb 2006 (19 years ago) (Companies founded in February 2006) |
Entity Number: | 000-245-903 |
Register Number: | 000245903 |
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
HOSPITAL/HEALTH CARE FACILITY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1255959144 | 2020-07-08 | 2020-07-08 | 1573 MALLORY LN STE 200, BRENTWOOD, TN, 370272895, US | 200 MEDICAL CENTER DR SW, FORT PAYNE, AL, 359683458, US | |||||||||||||||||||
|
Phone | +1 615-221-3758 |
Fax | 6152211456 |
Phone | +1 256-845-3150 |
Fax | 2569972512 |
Authorized person
Name | RANDY MICHAEL COOPER |
Role | AUTHORIZED OFFICIAL |
Phone | 6152213840 |
Taxonomy
Taxonomy Code | 275N00000X - Medicare Defined Swing Bed Hospital Unit |
Is Primary | Yes |
Name | Role |
---|---|
KECK, ROBIN J | Incorporator |
Name | Role | Address |
---|---|---|
CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State