| Name: | Eastside Ventures, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 07 Apr 1983 (42 years ago) (Companies founded in April 1983) |
| Entity Number: | 000-091-641 |
| Register Number: | 000091641 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| Authorized Capital: | $1,000 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609900406 | 2007-03-15 | 2011-02-03 | PO BOX 232, ONEONTA, AL, 351210004, US | 6945 COUNTY HIGHWAY 1, CLEVELAND, AL, 35049, US | |||||||||||||||||||||||
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| Phone | +1 205-625-3667 |
Authorized person
| Name | MRS. VICKI H PARKS |
| Role | CHIEF ACCOUNTING OFFICER |
| Phone | 2058383718 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE PT B |
| Number | E892 |
| Issuer | MEDICAID |
| Number | 529703160 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
| Name | Role | Address |
|---|---|---|
| CHAPMAN, ROBERT C | Incorporator | 509 OLIVER ROADMONTGOMERY, AL 36117-2207 |
| PICKETT, STEPHEN A | Incorporator | No data |
| RINGO, WILLIAM | Incorporator | No data |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2000-12-27 | Name Merged | No data | Eastern Health Management, Inc. |
| 2000-12-27 | Name Merged | No data | Eastside Development, Inc. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
