| Entity Name: | PANHANDLE RURAL HEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PANHANDLE RURAL HEALTH, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 01 Feb 1994 (31 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Aug 2017 (8 years ago) |
| Document Number: | P94000008412 |
| FEI/EIN Number |
593216460
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 14088 ALABAMA ST, JAY, FL, 32565 |
| Mail Address: | P.O.BOX 10, JAY, FL, 32565 |
| ZIP code: | 32565 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255398228 | 2006-04-26 | 2012-07-05 | PO BOX 10, JAY, FL, 325650010, US | 14088 ALABAMA ST, JAY, FL, 325651036, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 850-675-4546 |
| Fax | 8506754548 |
Authorized person
| Name | DR. CLEATIOUS DAVID SMITH I |
| Role | OWNER SUPERVISING PHYSICIAN |
| Phone | 8506754546 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 660022102 |
| State | FL |
| Issuer | BCBS OF FLORIDA GROUP NUMBER |
| Number | 21333 |
| State | FL |
| Issuer | MEDICAID |
| Number | 660022100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SMITH C D | President | 5100 HIGHWAY 4, JAY, FL, 32565 |
| SMITH C D | Agent | 14088 ALABAMA STREET, JAY, FL, 32565 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-14 | 14088 ALABAMA STREET, JAY, FL 32565 | - |
| REINSTATEMENT | 2017-08-28 | - | - |
| REGISTERED AGENT NAME CHANGED | 2017-08-28 | SMITH, C D | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2006-04-04 | 14088 ALABAMA ST, JAY, FL 32565 | - |
| CHANGE OF MAILING ADDRESS | 2004-11-09 | 14088 ALABAMA ST, JAY, FL 32565 | - |
| CANCEL ADM DISS/REV | 2004-11-09 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-02-06 |
| ANNUAL REPORT | 2019-04-17 |
| ANNUAL REPORT | 2018-04-30 |
| REINSTATEMENT | 2017-08-28 |
| ANNUAL REPORT | 2014-01-21 |
| ANNUAL REPORT | 2013-01-18 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7388067009 | 2020-04-07 | 0491 | PPP | 14088 ALABAMA ST, JAY, FL, 32565-1036 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
