| Name: | Outpatient Services East, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 02 Sep 1983 (41 years ago) |
| Entity Number: | 000-093-952 |
| Register Number: | 000093952 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 52 MEDICAL PARK DR EAST STE 311BIRMINGHAM, AL 35235 |
| Registered Office Street Address ZIP Code: | 35235 |
| Authorized Capital: | $10,000 |
Activities
MEDICAL FACILITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932298718 | 2006-10-12 | 2020-08-22 | 52 MEDICAL PARK DRIVE EAST, SUITE 401, BIRMINGHAM, AL, 35235, US | 52 MEDICAL PARK DRIVE EAST, SUITE 401, BIRMINGHAM, AL, 35235, US | |||||||||||||||||||||||||||
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| Phone | +1 205-838-3888 |
| Fax | 2058383875 |
Authorized person
| Name | JAMES EDWARD STIDHAM |
| Role | PRES CEO |
| Phone | 2058383888 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 311 |
| State | AL |
| Issuer | MEDICAID |
| Number | ASC0006C |
| State | AL |
| CIK number | Mailing Address | Business Address | Phone | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1527164 | 52 MEDICAL PARK EAST DRIVE, SUITE 311, BIRMINGHAM, AL, 35235 | 52 MEDICAL PARK EAST DRIVE, SUITE 311, BIRMINGHAM, AL, 35235 | (205) 838-3888 | |||||||||
|
||||||||||||
| Form type | D |
| File number | 021-163822 |
| Filing date | 2011-08-02 |
| File | View File |
| Name | Role |
|---|---|
| PERRY, H A | Agent |
| Name | Role |
|---|---|
| TILT, DOUGLAS C MD | Incorporator |
| ROLLINS, DOUGLAS MD | Incorporator |
| PRESTON, TOM MD | Incorporator |
| LYTLE, RICHARD MD | Incorporator |
| CANNON, HAROLD MD | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2011-09-21 | Name Merged | No data | OSE Acquisition, LLC |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
