| Name: | Temple Emergency Group, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 04 Sep 2012 (12 years ago) (Companies founded in September 2012) |
| Date of dissolution: | 14 Nov 2017 |
| Entity Number: | 000-044-857 |
| Register Number: | 000044857 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | 200 CORPORATE BLVD SUITE 201LAFAYETTE, LA 70508 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Activities
EMERGENCY DEPARTMENT STAFFING SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831440817 | 2012-10-01 | 2012-10-01 | 200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA, 705083870, US | 1653 TEMPLE AVE N, FAYETTE, AL, 355551314, US | |||||||||||||||||||||
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| Phone | +1 800-893-9698 |
Authorized person
| Name | WILLIAM C SCHUMACHER |
| Role | CEO |
| Phone | 8008939698 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363A00000X - Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role | Address |
|---|---|---|
| FALK, LISHA | Organizer | 200 CORPORATE BLVDLAFAYETTE, LA 70508 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
