| Name: | Hometown Doctors, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 29 Jan 2007 (18 years ago) (Companies founded in January 2007) |
| Date of dissolution: | 13 Jun 2017 |
| Entity Number: | 000-250-919 |
| Register Number: | 000250919 |
| ZIP code: | 36027 (Companies in Barbour, 36027) |
| County: | Barbour |
| Place of Formation: | Barbour County |
| Principal Address: | EUFAULA, AL |
| Registered Office Street Address: | 130 N RANDOLPH AVE STE BEUFAULA, AL 36027 |
| Authorized Capital: | $1,000 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780721472 | 2007-01-31 | 2011-12-06 | PO BOX 39, EUFAULA, AL, 360720039, US | 617 E BROAD ST, SUITE B, EUFAULA, AL, 360271710, US | |||||||||||||||||||||||||
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| Phone | +1 334-687-9990 |
| Fax | 3346879190 |
Authorized person
| Name | RAJESH VINOD PATEL |
| Role | PRESIDENT |
| Phone | 3346879990 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | DO 371 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009940932 |
| State | AL |
| Name | Role |
|---|---|
| PATEL, RAJESH V | Incorporator |
| Name | Role |
|---|---|
| PATEL, RAJESH V | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
