| Name: | St. Vincent's Gardendale Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 13 Jul 2012 (12 years ago) (Companies founded in July 2012) |
| Date of dissolution: | 24 Aug 2016 |
| Entity Number: | 000-071-368 |
| Register Number: | 000071368 |
| ZIP code: | 35205 (Companies in Jefferson, 35205) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 810 ST VINCENT'S DRIVE POB 1 3RD FLBIRMINGHAM, AL 35205 |
Activities
PROVIDE PHYSICIAN SERVICE TO BETTER SERVE HEALTH CARE NEEDS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992051379 | 2012-08-03 | 2017-09-06 | 50 MEDICAL PARK DRIVE EAST, BUILDING 46, SUITE 310, BIRMINGHAM, AL, 352353401, US | 2217 DECATUR HIGHWAY, SUITE 101, GARDENDALE, AL, 350712301, US | |||||||||||||||||||
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| Phone | +1 205-868-6215 |
| Fax | 2058686320 |
| Phone | +1 205-418-1200 |
| Fax | 2054181271 |
Authorized person
| Name | BRANDON WILLIAMS |
| Role | CFO |
| Phone | 2059302592 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| O'NEIL, JOHN D | Agent |
| Name | Role | Address |
|---|---|---|
| VINCENTIAN VENTURES OF NORTH ALABAMA INC | Organizer | 810 ST VINCENT'S DRIVE POB 1 3RD FLBIRMINGHAM, AL 35205 |
| REILLY, JAMES C | Organizer | 1130 22ND ST S RIDGE PARK STE 4000BIRMINGHAM, AL 35205 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
