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Reform Rural Health Center, P.C.

Details

Name: Reform Rural Health Center, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 28 May 2010 (14 years ago) (Companies founded in May 2010)
Date of dissolution: 26 Jun 2017
Entity Number: 000-264-344
Register Number: 000264344
ZIP code: 35481 (Companies in Pickens, 35481)
County: Pickens
Place of Formation: Pickens County
Principal Address: REFORM, AL
Registered Office Street Address: 209 10TH AVE SWREFORM, AL 35481
Authorized Capital: $1,000

Activities PROFESSIONAL MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134440894 2010-06-17 2010-06-17 PO BOX 670, REFORM, AL, 354810670, US 514 10TH AVE SW, REFORM, AL, 35481, US

Contacts

Phone +1 205-375-6251
Fax 2053756121

Authorized person

Name DR. HARRY LEE RICHARDSON JR.
Role PRESIDENT/PHYSICIAN
Phone 2053756251

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
RICHARDSON, H LEE JR Agent 514 10TH AVE SWREFORM, AL 35481

Incorporator

Name Role
RICHARDSON, H LEE Incorporator
LANG, WILLIAM H JR Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State