| Name: | EMERGENCY SERVICES OF MONTGOMERY, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 05 Oct 2012 (12 years ago) |
| Entity Number: | 000-048-109 |
| Register Number: | 000048109 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | 265 BROOKVIEW CENTRE WAY SUITE 400KNOXVILLE, TN 37919 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| Authorized Capital: | 1000 @ $NPV |
Activities
MEDICAL STAFFING
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528310323 | 2012-10-04 | 2020-08-31 | PO BOX 637944, CINCINNATI, OH, 452637944, US | 124 S MEMORIAL DR, PRATTVILLE, AL, 360673619, US | |||||||||||||||||||||||||
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| Phone | +1 800-424-3672 |
| Phone | +1 334-365-0651 |
| Fax | 3343650758 |
Authorized person
| Name | DR. RANDAL L. DABBS |
| Role | PRESIDENT |
| Phone | 8004243672 |
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 |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
| Name | Role | Address |
|---|---|---|
| HOLTZCLAW, STEPHEN | Director | 14050 NW 14TH STREET SUITE 190FT LAUDERDALE, FL 33233 |
| Name | Role | Address |
|---|---|---|
| STAIR, JOHN R | Incorporator | 265 BROOKVIEW CENTRE WAY STE 400KNOXVILLE, TN 37919 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
