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Extended Care Medical Associates, LLC

Details

Name: Extended Care Medical Associates, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Sep 2011 (13 years ago) (Companies founded in September 2011)
Entity Number: 000-025-534
Register Number: 000025534
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 110 MEDICAL DRDOTHAN, AL 36303

Activities PROVIDE PROFESSIONAL MEDICAL CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902182371 2011-10-28 2024-01-22 PO BOX 6289, DOTHAN, AL, 363026289, US 256 HONEYSUCKLE RD STE 20, DOTHAN, AL, 363051168, US

Contacts

Phone +1 334-699-3320
Fax 3346993341
Fax 3346993342

Authorized person

Name DR. BOBBY STEPHEN SANDERS JR.
Role OWNER / MD
Phone 3346993320

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
PARSONS, DAVID W Agent 110 MEDICAL DRIVEDOTHAN, AL 36303

Organizer

Name Role Address
SANDERS, STEPHEN B JR Organizer 110 MEDICAL DRDOTHAN, AL 36303
HINESLEY, WILLIAM W Organizer 291 NORTH OATES STEETDOTHAN, AL 36302

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State