Name: | Providence Medical Network IPA, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 29 Oct 2012 (12 years ago) (Companies founded in October 2012) |
Entity Number: | 000-050-414 |
Register Number: | 000050414 |
ZIP code: | 36104 (Companies in Montgomery, 36104) |
County: | Montgomery |
Place of Formation: | Mobile County |
Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Activities
AN INDEPENDENT PRACTICE ASSOCIATION
Name | Role | Address |
---|---|---|
CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Name | Role | Address |
---|---|---|
CORNEJO, C SUSAN | Organizer | 6801 AIRPORT BOULEVARDMOBILE, AL 36608 |
ISRAEL, ROBERT W | Organizer | 6701 AIRPORT BOULEVARD SUITE A101MOBILE, AL 36608 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State