| Name: | Fort Payne RHC Corp. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 10 Mar 2006 (19 years ago) (Companies founded in March 2006) |
| Entity Number: | 000-246-145 |
| Register Number: | 000246145 |
| 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 | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013432244 | 2017-08-09 | 2017-08-09 | 16 ATLANTIC AVE, LYNBROOK, NY, 115633046, US | 13280 COUNTY ROAD 51, COLLINSVILLE, AL, 359614174, US | |||||||||||||||||||||||||||
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| Phone | +1 516-593-1380 |
| Phone | +1 307-782-7560 |
Authorized person
| Name | AMBER MORRIS |
| Role | AUTHORIZED OFFICIAL |
| Phone | 2569279162 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| 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
