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Rural Primary Care South, Inc.

Details

Name: Rural Primary Care South, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 10 Apr 2014 (11 years ago)
Entity Number: 000-307-780
Register Number: 000307780
County: Jefferson
Place of Formation: Blount County
Registered Office Street Address: 143 WHIT OAK TRAIL SUITE 2WARRIOR, AL 35180
Registered Office Street Address ZIP Code: 35180
Authorized Capital: 5000 @ $1.00 PV

Activities PRACTICE MEDICINE/RENDER MEDICAL SERVICES OF EVERY KIND/NATURE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
V69XC1AKSVN6 2022-10-10 143 WHITE OAK TRL, WARRIOR, AL, 35180, 5736, USA 143 WHITE OAK TRL, WARRIOR, AL, 35180, 5736, USA

Business Information

Congressional District 06
State/Country of Incorporation AL, USA
Activation Date 2021-09-14
Initial Registration Date 2021-09-07
Entity Start Date 2014-04-10
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name MICHAEL PATTON
Role DR.
Address 143 WHITE OAK TRL, WARRIOR, AL, 35180, USA
Government Business
Title PRIMARY POC
Name MICHAEL PATTON
Role DR.
Address 143 WHITE OAK TRL, WARRIOR, AL, 35180, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508277310 2014-05-14 2014-05-14 143 WHITE OAK TRL, SUITE 2, WARRIOR, AL, 351805736, US 143 WHITE OAK TRL, SUITE 2, WARRIOR, AL, 351805736, US

Contacts

Phone +1 205-647-1819

Authorized person

Name DR. MICHAEL T PATTON
Role PHYSICIAN
Phone 2056471819

Taxonomy

Taxonomy Code 261QR1300X - Rural Health Clinic/Center
Is Primary Yes

Agent

Name Role Address
PATTON, MICHAEL T Agent 328 HIGHLAND VIEW DRIVEBIRMINGHAM, AL 35242

Director

Name Role Address
PATTON, MICHAEL T Director 328 HIGHLAND VIEW DRIVEBIRMINGHAM, AL 35242
PATTON, AMANDA T Director 328 HIGHLAND VIEW DRIVEBIRMINGHAM, AL 35242

Incorporator

Name Role Address
PATTON, MICHAEL T Incorporator 328 HIGHLAND VIEW DRIVEBIRMINGHAM, AL 35242

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State