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Atmore Ambulance, Inc.

Details

Name: Atmore Ambulance, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 20 Feb 1976 (49 years ago)
Entity Number: 000-040-692
Register Number: 000040692
County: Escambia
Place of Formation: Escambia County
Principal Address: ATMORE, AL
Registered Office Street Address: 121 S MAIN STATMORE, AL 36502
Registered Office Street Address ZIP Code: 36502
Authorized Capital: $5,000
Paid Share Capital: $4,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447295803 2006-06-19 2007-08-10 121 S MAIN ST, ATMORE, AL, 365022445, US 121 S MAIN ST, ATMORE, AL, 365022445, US

Contacts

Phone +1 251-368-3003
Fax 2513682517

Authorized person

Name MRS. PATRICIA A STILL
Role OWNER
Phone 2513683003

Taxonomy

Taxonomy Code 3416L0300X - Land Ambulance
License Number 125
State AL
Is Primary Yes
Taxonomy Code 3416L0300X - Land Ambulance
License Number 002540
State FL
Is Primary No

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number 52754
State AL

Incorporator

Name Role
STILL, MERRILL H Incorporator
STILL, PATRICIA A Incorporator
ALLEN, MARGARET L Incorporator

Agent

Name Role
JAY, KAREN Agent

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State