| Name: | Brookwood Primary Care - Homewood, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 21 Aug 2012 (12 years ago) |
| Date of dissolution: | 01 Jul 2022 |
| Entity Number: | 000-043-692 |
| Register Number: | 000043692 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | 1445 ROSS AVENUE SUITE 1400DALLAS, TX 75202 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUIT 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
Activities
ANY LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457609075 | 2012-08-29 | 2016-05-26 | 4902 VALLEYDALE RD, BIRMINGHAM, AL, 352424613, US | 1817 OXMOOR RD, HOMEWOOD, AL, 352093505, US | |||||||||||||||||||||||
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| Phone | +1 205-980-8099 |
| Fax | 2059802606 |
| Phone | +1 205-870-4030 |
| Fax | 2058704083 |
Authorized person
| Name | MR. WESLEY O. JAMES |
| Role | REGIONAL CFO, TENET |
| Phone | 4042655009 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROOKWOOD PRIMARY NETWORK CARE INC | Organizer | 1445 ROSS AVENUE SUITE 1400DALLAS, TX 75202 |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
