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 | |||||||||||||||||||||||||||||||||||||
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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 |
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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 | |||||||||||||||||||||||||||||
|
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