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East Alabama Heart and Vascular, LLC

Details

Name: East Alabama Heart and Vascular, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 04 Oct 2011 (13 years ago) (Companies founded in October 2011)
Entity Number: 000-026-653
Register Number: 000026653
Historical Names: East Alabama Heart and Vascular Consultations, LLC
ZIP code: 36801 (Companies in Lee, 36801)
County: Lee
Place of Formation: Lee County
Registered Office Street Address: 2000 PEPPERELL PARKWAYOPELIKA, AL 36801

Activities PROVIDE HEALTHCARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1073120119 2020-09-23 2020-09-23 2601 VILLAGE PROFESSIONAL DRIVE, OPELIKA, AL, 368014784, US 2601 VILLAGE PROFESSIONAL DRIVE, OPELIKA, AL, 368014784, US

Contacts

Phone +1 334-528-5400

Authorized person

Name SAMUEL A PRICE JR.
Role CFO
Phone 3345281310

Taxonomy

Taxonomy Code 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Is Primary Yes

Agent

Name Role
THE E ALABAMA HEALTHCARE AUTHORITY Agent

Organizer

Name Role Address
THE EAST ALABAMA HEALTHCARE AUTHORITY Organizer 2000 PEPPERELL PARKWAYOPELIKA, AL 36801

Events

Event Date Event Type Old Value New Value
2012-05-01 Name Change East Alabama Heart and Vascular Consultations, LLC East Alabama Heart and Vascular, LLC

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State