| Name: | Chatom Primary Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 02 May 2000 (25 years ago) |
| Entity Number: | 000-209-654 |
| Register Number: | 000209654 |
| ZIP code: | 36518 |
| County: | Washington |
| Place of Formation: | Washington County |
| Principal Address: | CHATOM, AL |
| Registered Office Street Address: | 918 DONALD LANECHATOM, AL 36518 |
| Authorized Capital: | $2,000 |
| Paid Share Capital: | $1,000 |
Activities
MEDICAL PRACTICE
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| XEE3WUXN5KB5 | 2024-07-26 | 14634 SAINT STEPHENS AVE, CHATOM, AL, 36518, 6711, USA | P.O. BOX 1237, CHATOM, AL, 36518, 1237, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Congressional District | 01 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-08-08 |
| Initial Registration Date | 2021-06-17 |
| Entity Start Date | 2000-09-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621111 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ROBYN R REYNOLDS |
| Role | OFFICE MANAGER |
| Address | PO BOX 1237, CHATOM, AL, 36518, 1237, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ROBYN R REYNOLDS |
| Role | OFFICE MANAGER |
| Address | PO BOX 1237, CHATOM, AL, 36518, 1237, USA |
| Title | ALTERNATE POC |
| Name | JAMES S DONALD |
| Role | OWNER |
| Address | 14634 ST STEPHENS AVE, P.O. BOX 1237, CHATOM, AL, 36518, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326243270 | 2007-06-20 | 2020-08-22 | PO BOX 1237, CHATOM, AL, 365181237, US | 75 5TH AVENUE, MILLRY, AL, 365580000, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 251-847-6262 |
Authorized person
| Name | JAMES S DONALD |
| Role | OWNER |
| Phone | 2518476262 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DONALD, JAMES STEVEN | Agent |
| Name | Role |
|---|---|
| DONALD, JAMES STEVEN | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
