| Name: | Haynes Ambulance of Wetumpka, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 04 Jun 1985 (39 years ago) |
| Date of dissolution: | 28 Dec 2016 |
| Entity Number: | 000-104-375 |
| Register Number: | 000104375 |
| County: | Elmore |
| Place of Formation: | Elmore County |
| Principal Address: | WETUMPKA, AL |
| Registered Office Street Address: | 219 COMPANY STWETUMPKA, AL 36092 |
| Registered Office Street Address ZIP Code: | 36092 |
| Authorized Capital: | $1,000 |
Activities
AMBULANCE SERVICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306959028 | 2006-08-16 | 2020-08-22 | P.O. BOX 116, WETUMPKA, AL, 36092, US | 219 COMPANY ST, WETUMPKA, AL, 360922758, US | |||||||||||||||||||||||
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| Phone | +1 334-567-7039 |
Authorized person
| Name | MRS. BRANDEE HAYNES BARRETT |
| Role | MANAGER |
| Phone | 3342415224 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| License Number | 0265 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHEILD AL |
| Number | 510-51928 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HAYNES, W A JR | Incorporator | PO BOX 925 706 HIGHLAND AVESELMA, AL 36701 |
| HAYNES, MARCELLA | Incorporator | No data |
| Name | Role | Address |
|---|---|---|
| HAYNES, W A JR | Agent | PO BOX 925 706 HIGHLAND AVESELMA, AL 36701 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
