| Name: | The Health Care Authority of the Town of Wedowee |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Dissolved |
| Date of registration: | 09 Mar 2005 (20 years ago) (Companies founded in March 2005) |
| Date of dissolution: | 08 Oct 2024 |
| Entity Number: | 000-818-267 |
| Register Number: | 000818267 |
| Place of Formation: | Randolph County |
| Principal Address: | WEDOWEE, AL |
Activities
HEALTH CARE AUTHORITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407953714 | 2006-09-20 | 2013-09-16 | 209 MAIN ST S, PO BOX 307, WEDOWEE, AL, 362785139, US | 209 MAIN ST, WEDOWEE, AL, 362785139, US | |||||||||||||||||||||||||||||||
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| Phone | +1 256-357-2111 |
| Fax | 2563572089 |
Authorized person
| Name | MR. MIKE ALEXANDER |
| Role | ADMINISTRATOR |
| Phone | 2563572111 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BURNSIDE, JACK | Incorporator | 308 WEST BROAD STREETWEDOWEE, AL 36278 |
| BOONE, BRENDA | Incorporator | No data |
| MITCHELL, KERLENE | Incorporator | No data |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
