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Brookwood Primary Care-Mountain Brook, L.L.C.

Details

Name: Brookwood Primary Care-Mountain Brook, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 27 Sep 2012 (12 years ago) (Companies founded in September 2012)
Date of dissolution: 01 Jul 2022
Entity Number: 000-046-860
Register Number: 000046860
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 SUITE 605MONTGOMERY, AL 36104

Activities ANY LAWFUL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609110485 2012-11-19 2016-05-26 4902 VALLEYDALE RD, BIRMINGHAM, AL, 352424613, US 4500 MONTEVALLO RD, SUITE E101, IRONDALE, AL, 352103129, US

Contacts

Phone +1 205-980-8099
Fax 2059802606
Phone +1 205-940-4690
Fax 2057774888

Authorized person

Name MR. WESLEY O. JAMES
Role REGIONAL CFO, TENET
Phone 4042655009

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Organizer

Name Role Address
BROOKWOOD PRIMARY NETWORK CARE INC Organizer 1445 ROSS AVENUE SUITE 1400DALLAS, TX 75202

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State