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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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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 | |
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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 | |
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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 | |||||||||||||||||||||||||||||
|
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 | |||||||||||||||
|
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 |
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Immediate Level Owner | Information not Available |
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List of Offerors (0) | Information not Available |
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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 |
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CREAR, JOHN | Agent |
Name | Role |
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CREAR, JOHN | Incorporator |
MERRITT, EVELYN | Incorporator |
WEAVER, MARY | Incorporator |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State