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The Ranburne Community Clinic

Details

Name: The Ranburne Community Clinic
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 22 Aug 2006 (18 years ago)
Entity Number: 000-248-805
Register Number: 000248805
County: Cleburne
Place of Formation: Cleburne County
Principal Address: RANBURNE, AL
Registered Office Street Address: 21459 MAIN STRANBURNE, AL 36273
Registered Office Street Address ZIP Code: 36273
Authorized Capital: 2

Activities HEALTHCARE CLINIC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184830762 2007-05-14 2007-12-31 22931 MAIN ST, RANBURNE, AL, 362734114, US 22931 MAIN ST, RANBURNE, AL, 362734114, US

Contacts

Phone +1 256-568-9646
Fax 2565689647

Authorized person

Name DR. MELANIE EDWARDS MOORE
Role OWNER CEO
Phone 7702587060

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
License Number 1-092465
State AL
Is Primary Yes

Agent

Name Role Address
MOORE, MELANIE Agent 6272 AQUARIUS DR UNIT 143ALPINE, AL 35014

Incorporator

Name Role Address
MOORE, MELANIE Incorporator 6272 AQUARIUS DR UNIT 143ALPINE, AL 35014

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State