| Name: | Rural Health Medical Program, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 31 Jul 1978 (46 years ago) |
| Entity Number: | 000-817-519 |
| Register Number: | 000817519 |
| County: | Dallas |
| Place of Formation: | Dallas County |
| Principal Address: | SELMA, AL |
| Registered Office Street Address: | 1107 VOEGLIN AVESELMA, AL 36701 |
| Registered Office Street Address ZIP Code: | 36701 |
Activities
HEALTH SERVICES/CHARITABLE/SCIENTIFIC/EDUCATIONAL PURPOSES
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UFR2G6C5LXP7 | 2024-12-26 | 101 PARK PL, SELMA, AL, 36701, 6764, USA | 101 PARK PL, SELMA, AL, 36701, 6764, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | UNIONTOWN HEALTH SERVICES |
| URL | http://www.rhmpi.com/ |
| Congressional District | 07 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-01-10 |
| Initial Registration Date | 2003-11-12 |
| Entity Start Date | 1977-10-01 |
| Fiscal Year End Close Date | Jun 30 |
Service Classifications
| NAICS Codes | 621112, 621210, 621320, 621330, 621391, 621498, 621999 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KESHEE D DOZIER-SMITH |
| Role | CEO |
| Address | 101 PARK PLACE, PO BOX 2213, SELMA, AL, 36701, USA |
| Title | ALTERNATE POC |
| Name | MENEKA N JOHNSON |
| Role | CORPORATE COMPLIANCE OFFICER |
| Address | 101 PARK PLACE, SELMA, AL, 36701, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KESHEE DOZIER-SMITH |
| Role | CEO |
| Address | 101 PARK PLACE, PO BOX 2213, SELMA, AL, 36701, USA |
| Title | ALTERNATE POC |
| Name | LATOYA FREEMAN |
| Role | HR DIRECTOR |
| Address | 101 PARK PLACE, SELMA, AL, 36701, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | TREVOR TAYLOR |
| Role | CONTROLLER |
| Address | 101 PARK PLACE, PO BOX 2213, SELMA, AL, 36701, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750164315 | 2023-08-17 | 2023-08-17 | PO BOX 2213, SELMA, AL, 367022213, US | 101 PARK PL, SELMA, AL, 367016764, US | |||||||||||||||||||||||||||||
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| Phone | +1 334-874-7428 |
| Fax | 3348747435 |
| Fax | 3348747428 |
Authorized person
| Name | KESHEE DANEE SMITH |
| Role | CEO |
| Phone | 3348747428 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 122300000X - Dentist |
| Is Primary | No |
| Taxonomy Code | 152W00000X - Optometrist |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3LNQ7 | Active | Non-Manufacturer | 2003-11-12 | 2024-01-10 | 2029-01-10 | 2024-12-26 | |||||||||||||||
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| POC | KESHEE DOZIER-SMITH |
| Phone | +1 334-874-7428 |
| Fax | +1 334-874-7435 |
| Address | 101 PARK PL, SELMA, DALLAS, AL, 36701 6764, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RURAL HEALTH MEDICAL PROGRAM, INC.401(K) PLAN | 2022 | 630737968 | 2023-09-19 | RURAL HEALTH MEDICAL PROGRAM, INC. | 71 | |||||||||||||||||||||
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| RURAL HEALTH MEDICAL PROGRAM, INC.401(K) PLAN | 2021 | 630737968 | 2022-09-30 | RURAL HEALTH MEDICAL PROGRAM, INC. | 63 | |||||||||||||||||||||
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| RURAL HEALTH MEDICAL PROGRAM INC | 2020 | 630737968 | 2021-10-04 | RURAL HEALTH MEDICAL PROGRAM INC | 68 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2021-10-04 |
| Name of individual signing | LATOYA FREEMAN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 3348747428 |
| Plan sponsor’s address | 101 PARK PLACE, SELMA, AL, 36701 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 3348747428 |
| Plan sponsor’s address | 101 PARK PLACE, SELMA, AL, 36701 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-23 |
| Name of individual signing | LATOYA FREEMAN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2018-01-01 |
| Business code | 621112 |
| Sponsor’s telephone number | 3348747428 |
| Plan sponsor’s address | 101 PARK PL, SELMA, AL, 367016764 |
Signature of
| Role | Plan administrator |
| Date | 2020-11-24 |
| Name of individual signing | LATOYA FREEMAN |
| Name | Role |
|---|---|
| CREAR, JOHN | Agent |
| Name | Role |
|---|---|
| CREAR, JOHN | Incorporator |
| MERRITT, EVELYN | Incorporator |
| WEAVER, MARY | Incorporator |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
