| Name: | Integrity Physicians of Hartselle, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 15 Mar 2011 (14 years ago) |
| Date of dissolution: | 28 Mar 2014 |
| Entity Number: | 000-006-015 |
| Register Number: | 000006015 |
| County: | Dallas |
| Place of Formation: | Dallas County |
| Registered Office Street Address: | 1514 MOORES FERRY ROADSELMA, AL 36701 |
| Registered Office Street Address ZIP Code: | 36701 |
| Authorized Capital: | 100 @ $10.00PV |
Activities
PROVIDE EMERGENCY MEDICAL SERVICES IN MEDICAL FACILITIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154620128 | 2011-03-16 | 2011-03-16 | 201 PINE ST NW, HARTSELLE, AL, 356402309, US | 201 PINE ST NW, HARTSELLE, AL, 356402309, US | |||||||||||||
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| Phone | +1 256-773-6511 |
Authorized person
| Name | MR. EMERY HICKS |
| Role | MANAGER |
| Phone | 3343221202 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HICKS, P A SR | Agent | 1514 MOORES FERRY ROADSELMA, AL 36701 |
| Name | Role | Address |
|---|---|---|
| HICKS, P ALAN SR | Director | 1514 MOORES FERRY ROADSELMA, AL 36701 |
| HICKS, AVEREE A | Director | 1514 MOORES FERRY ROADSELMA, AL 36701 |
| Name | Role | Address |
|---|---|---|
| HICKS, P A SR | Incorporator | 1514 MOORES FERRY ROADSELMA, AL 36701 |
| HICKS, AVEREE A | Incorporator | 1514 MOORES FERRY ROADSELMA, AL 36701 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
