| Name: | Vincentian Physician Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Feb 2011 (14 years ago) (Companies founded in February 2011) |
| Entity Number: | 000-002-966 |
| Register Number: | 000002966 |
| Historical Names: |
Universal Physician Services, LLC
|
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Activities
OWN/OPERATE PHYSICAN PRACTICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174992168 | 2015-09-19 | 2017-09-06 | 50 MEDICAL PARK EAST DRIVE, BIRMINGHAM, AL, 352353401, US | 2217 DECATUR HWY, GARDENDALE, AL, 350712301, US | |||||||||||||||||||||
|
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| Phone | +1 205-418-1200 |
Authorized person
| Name | BRANDON WILLIAMS |
| Role | CFO |
| Phone | 2058383766 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | 1-130738 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY INC. | Agent |
| Name | Role | Address |
|---|---|---|
| DOUGHTON, SUSAN D | Organizer | 1130 22ND ST S, RIDGE PARK STE 4000BIRMINGHAM, AL 35205 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2011-04-05 | Name Change | Universal Physician Services, LLC | Vincentian Physician Services, LLC |
Date of last update: 29 Jul 2024
Sources: Alabama Secretary of State
