| Name: | Simmons Ambulance Service, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 03 Jul 1984 (40 years ago) |
| Entity Number: | 000-099-544 |
| Register Number: | 000099544 |
| County: | Monroe |
| Place of Formation: | Monroe County |
| Principal Address: | MONROEVILLE, AL |
| Registered Office Street Address: | 4269 DREWRY RDMONROEVILLE, AL 36460 |
| Registered Office Street Address ZIP Code: | 36460 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
AMBULANCE SERVICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518981174 | 2006-07-27 | 2013-01-31 | PO BOX 646, MONROEVILLE, AL, 36461, US | 1956 SAWYER DR, MONROEVILLE, AL, 364607984, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 251-743-2623 |
| Fax | 2515754333 |
| Phone | +1 800-996-4727 |
Authorized person
| Name | MR. GRAYSON SIMMONS |
| Role | OWNER |
| Phone | 2517437486 |
Taxonomy
| Taxonomy Code | 207PE0004X - Emergency Medical Services (Emergency Medicine) Physician |
| License Number | 365 |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000054358 |
| State | AL |
| Issuer | BC |
| Number | 51054358 |
| Issuer | MEDICAID |
| Number | 200050104 |
| State | AL |
| Name | Role |
|---|---|
| SIMMONS, A GRAYSON | Agent |
| Name | Role |
|---|---|
| SIMMONS, A GRAYSON | Incorporator |
| SIMMONS, DIANE M | Incorporator |
| SIMMONS, MICHAEL GRAYSON | Incorporator |
| BAKER, JAMES MCCARTER | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
