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Dodge City Medical Clinic, Inc.

Details

Name: Dodge City Medical Clinic, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 22 Jan 2007 (18 years ago)
Entity Number: 000-250-817
Register Number: 000250817
County: Morgan
Place of Formation: Cullman County
Principal Address: HANCEVILLE, AL
Registered Office Mailing Address: PO BOX 1208CULLMAN, AL 35056
Registered Office Mailing Address ZIP Code: 35056
Registered Office Street Address: 1600 MAIN STREET EASTHARTSELLE, AL 35640
Registered Office Street Address ZIP Code: 35640
Authorized Capital: $1,000

Activities MEDICAL CLINIC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407976624 2007-03-30 2008-12-15 PO BOX 1208, CULLMAN, AL, 350561208, US 561 AL HIGHWAY 69 S, SUITE B, HANCEVILLE, AL, 350773403, US

Contacts

Phone +1 256-287-2345

Authorized person

Name RICHARD ANTHONY BUCCO JR.
Role PRESIDENT
Phone 2562872345

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
License Number MD27216
State AL
Is Primary Yes

Agent

Name Role
BUCCO, RICHARD A Agent

Incorporator

Name Role Address
BUCCO, RICHARD Incorporator 81 HOWARD CIRCLEHANCEVILLE, AL 35077

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State