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) (Companies founded in August 2012) |
Date of dissolution: | 01 Jul 2022 |
Entity Number: | 000-043-692 |
Register Number: | 000043692 |
ZIP code: | 36104 (Companies in Montgomery, 36104) |
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 |
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 | |||||||||||||||||||||||
|
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