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Community Hospital of Andalusia, LLC

Details

Name: Community Hospital of Andalusia, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 04 Mar 1980 (45 years ago)
Entity Number: 000-060-988
Register Number: 000060988
Historical Names: Community Hospital of Andalusia, Inc.
County: Montgomery
Place of Formation: Delaware
Principal Address: 330 SEVEN SPRINGS WAYBRENTWOOD, TN 37027
Registered Office Street Address: 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

Activities HOSPITALS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437684305 2017-04-27 2024-03-11 330 SEVEN SPRINGS WAY, BRENTWOOD, TN, 370275098, US 24245 5TH AVE, FLORALA, AL, 364423523, US

Contacts

Phone +1 615-920-7000
Fax 6159208775
Phone +1 334-428-7021

Authorized person

Name KATHY TEAGUE
Role VICE PRESIDENT, CORPORATE SECRETARY
Phone 6292535121

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

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

Events

Event Date Event Type Old Value New Value
2016-02-03 Name Change Community Hospital of Andalusia, Inc. Community Hospital of Andalusia, LLC

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State