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Cahaba Medical Care of Al., LLC

Details

Name: Cahaba Medical Care of Al., LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 11 Aug 2011 (13 years ago) (Companies founded in August 2011)
Date of dissolution: 03 Jan 2014
Entity Number: 000-022-420
Register Number: 000022420
ZIP code: 35042 (Companies in Bibb, 35042)
County: Bibb
Place of Formation: Bibb County
Registered Office Street Address: 195 HOSPITAL DRIVECENTREVILLE, AL 35042

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336416288 2011-11-21 2011-11-21 195 HOSPITAL DR, CENTREVILLE, AL, 350422935, US 195 HOSPITAL DR, CENTREVILLE, AL, 350422935, US

Contacts

Phone +1 205-926-2992
Fax 2059262993

Authorized person

Name DR. JOHN B WAITS
Role OFFICER
Phone 2059262992

Taxonomy

Taxonomy Code 261QR1300X - Rural Health Clinic/Center
Is Primary Yes

Agent

Name Role Address
WAITS, JOHN B Agent 195 HOSPITAL DRIVECENTREVILLE, AL 35042

Organizer

Name Role Address
WAITS, JOHN B Organizer 195 HOSPITAL DRIVECENTREVILLE, AL 35042

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State