| Name: | Sylacauga Ambulance Service, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 15 Aug 1967 (57 years ago) |
| Entity Number: | 000-018-028 |
| Register Number: | 000018028 |
| Place of Formation: | Talladega County |
| Principal Address: | SYLACAUGA, AL |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $1,000 |
Activities
AMBULANCE SERVICE
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEENPZSJGBM9 | 2025-02-18 | 1601 TALLADEGA HWY, SYLACAUGA, AL, 35150, 1633, USA | PO BOX 1007, SYLACAUGA, AL, 35150, USA | |||||||||||||||||||||||||||||||||||||
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| Division Name | SYLACAUGA AMBULANCE SERVICE |
| Congressional District | 03 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-02-21 |
| Initial Registration Date | 2021-11-04 |
| Entity Start Date | 1967-08-15 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CRYSTAL MURPHY |
| Address | PO BOX 1007, SYLACAUGA, AL, 35150, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | BARRY CURTIS |
| Address | 380 WILLOW WAY WEST, ALEXANDER CITY, AL, 35010, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851471932 | 2006-10-16 | 2023-07-11 | PO BOX 1007, SYLACAUGA, AL, 351501007, US | 1601 TALLADEGA HWY, SYLACAUGA, AL, 351501633, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-245-9770 |
Authorized person
| Name | MR. BARRY CURTIS |
| Role | OWNER |
| Phone | 2562457449 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| License Number | 389 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 200061105 |
| State | AL |
| Issuer | BLUECROSSBLUESHIELD |
| Number | 51053153 |
| State | AL |
| Name | Role |
|---|---|
| COLEMAN, MELVIN E | Incorporator |
| JONES, J L | Incorporator |
| COLEMAN, FRANCES | Incorporator |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
