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Geneva County Health Care Authority, Inc.

Details

Name: Geneva County Health Care Authority, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 11 Mar 1986 (39 years ago)
Entity Number: 000-747-780
Register Number: 000747780
County: Geneva
Place of Formation: Geneva County
Registered Office Street Address: 1200 WEST MAPLE AVENUEGENEVA, AL 36340
Registered Office Street Address ZIP Code: 36340

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
PT7JJESQ9V47 2023-04-13 1200 W MAPLE AVE, GENEVA, AL, 36340, 1642, USA 1200 W MAPLE AVE, GENEVA, AL, 36340, 1642, USA

Business Information

Doing Business As WIREGRASS HOSPITAL & NURSING HOME
URL wiregrassmedicalcenter.org
Congressional District 02
State/Country of Incorporation AL, USA
Activation Date 2022-03-16
Initial Registration Date 2019-08-29
Entity Start Date 1955-07-01
Fiscal Year End Close Date Oct 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JANET SMITH
Role CFO
Address 1200 W MAPLE AVE, GENEVA, AL, 36340, USA
Government Business
Title PRIMARY POC
Name JANET SMITH
Role CFO
Address 1200 W MAPLE AVE, GENEVA, AL, 36340, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992256416 2016-10-19 2016-10-19 1200 W MAPLE AVE, GENEVA, AL, 363401642, US 1200 W MAPLE AVE, GENEVA, AL, 363401642, US

Contacts

Phone +1 334-684-3655

Authorized person

Name MR. SAMUEL G. JOHNSON
Role CEO
Phone 3346843655

Taxonomy

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

Incorporator

Name Role
REGISTER, G B Incorporator
HENDRIX, BILLY Incorporator
PEEL, PRICE Incorporator

Agent

Name Role
JANET E SMITH Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State