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HIGHLANDS HOSPITALISTS SERVICES, LLC

Details

Name: HIGHLANDS HOSPITALISTS SERVICES, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Dec 2011 (13 years ago)
Entity Number: 000-033-981
Register Number: 000033981
County: Jackson
Place of Formation: Jackson County
Registered Office Street Address: 126 E. PEACHTREE STREETSCOTTSBORO, AL 35768
Registered Office Street Address ZIP Code: 35768
Principal Address: 380 WOODS COVE ROADSCOTTSBORO, AL 35768
Principal Address ZIP Code: 35768

Activities PERFORM MEDICAL TREATMENT AND ALL INCIDENTALS RELATED.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154690246 2011-12-20 2022-03-22 PO BOX 1050, SCOTTSBORO, AL, 357681050, US 380 WOODS COVE RD, SCOTTSBORO, AL, 357682428, US

Contacts

Phone +1 256-259-4444
Fax 2562183536

Authorized person

Name DAN B NEWELL
Role CHIEF FINANCIAL OFFICER
Phone 2562183856

Taxonomy

Taxonomy Code 208M00000X - Hospitalist Physician
Is Primary Yes

Agent

Name Role
LACKEY, GARY W Agent

Organizer

Name Role Address
JACKSON COUNTY HEALTH CARE AUTHORITY Organizer 509 BURLINGTON STREETSCOTTSBORO, AL 35768

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State