| Entity Name: | MARION RURAL HEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 30 Sep 1994 (30 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Sep 1996 (28 years ago) |
| Document Number: | P94000072871 |
| FEI/EIN Number | 59-3273752 |
| Address: | 15932 E Hwy 40, SILVER SPRINGS, FL 34488 |
| Mail Address: | 15932 E HWY 40, SILVER SPRINGS, FL 34488 |
| ZIP code: | 34488 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033160684 | 2006-05-16 | 2013-10-15 | 15932 E HIGHWAY 40, SILVER SPRINGS, FL, 344885144, US | 15932 E HIGHWAY 40, SILVER SPRINGS, FL, 344885144, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 352-625-7777 |
| Fax | 3526251970 |
Authorized person
| Name | MS. TERESA AMERSON SPOGEN |
| Role | OWNER/ADMINISTER |
| Phone | 3526257777 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 660054900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SPOGEN, TERESA A | Agent | 1300 SE 42ND STREET, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| SPOGEN, TERESA A | President | 1300 SE 42ND STREET, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| CHERRY, RICHARD EIV | Vice President | 1300 SE 42ND STREET, OCALA, FL 34471 |
| Name | Role | Address |
|---|---|---|
| San Filippo, Elizabeth C | Treasurer | 1300 SW 42nd St, Ocala, FL 34471 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G99120900153 | FOREST FAMILY HEALTH | ACTIVE | 1999-04-30 | 2029-12-31 | No data | 1300 SW 42ND STREET, OCALA, FL, 34471 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-05 | 15932 E Hwy 40, SILVER SPRINGS, FL 34488 | No data |
| CHANGE OF MAILING ADDRESS | 2015-01-05 | 15932 E Hwy 40, SILVER SPRINGS, FL 34488 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-01-09 | SPOGEN, TERESA A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-01-09 | 1300 SE 42ND STREET, OCALA, FL 34471 | No data |
| REINSTATEMENT | 1996-09-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1996-08-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-01-08 |
| ANNUAL REPORT | 2023-01-08 |
| ANNUAL REPORT | 2022-01-03 |
| ANNUAL REPORT | 2021-01-06 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-01-15 |
| ANNUAL REPORT | 2018-01-03 |
| ANNUAL REPORT | 2017-01-03 |
| ANNUAL REPORT | 2016-01-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
