| Name: | Surgical Associates of Gadsden, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 30 May 1980 (44 years ago) |
| Date of dissolution: | 19 Dec 2023 |
| Entity Number: | 000-061-542 |
| Register Number: | 000061542 |
| Place of Formation: | Etowah County |
| Principal Address: | GADSDEN, AL |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $1,000 |
Activities
MEDICAL
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659472983 | 2006-09-26 | 2017-01-13 | 900 GOODYEAR AVE, SUITE B, GADSDEN, AL, 359031108, US | 900 GOODYEAR AVE, SUITE B, GADSDEN, AL, 359031108, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-492-0020 |
| Fax | 2564920029 |
Authorized person
| Name | DR. ALBERTO ECHEVERRI |
| Role | OWNER/GEN SURGEON MEDICAL DOCTOR |
| Phone | 2564920020 |
Taxonomy
| Taxonomy Code | 208600000X - Surgery Physician |
| License Number | 8001055 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS/BLUE SHIELD |
| Number | 051076949 |
| State | AL |
| Issuer | NPI |
| Number | 1609837152 |
| State | AL |
| Issuer | NPI GROUP |
| Number | 1659472983 |
| State | AL |
| Issuer | NPI |
| Number | 1891976833 |
| State | AL |
| Issuer | RAILROAD MEDICARE GROUP |
| Number | C12823 |
| State | AL |
| Issuer | RAILROAD MEDICARE |
| Number | P00401656 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529203130 |
| State | AL |
| Name | Role |
|---|---|
| MILLER, GEORGE D | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1994-06-22 | Capital Change | $1,000 Authorized $1,000 Paid In | $5,000 Authorized $1,000 Paid In |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
