| Name: | Alabama Emergency Room Administrative Services, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 08 Jul 1987 (37 years ago) |
| Date of dissolution: | 05 Feb 2016 |
| Entity Number: | 000-118-361 |
| Register Number: | 000118361 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | PIKE ROAD, AL |
| Registered Office Street Address: | 8650 MINNIE BROWN ROADMONTGOMERY, AL 36117 |
| Registered Office Street Address ZIP Code: | 36117 |
| Authorized Capital: | $50,000 |
Activities
MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194760710 | 2006-06-18 | 2020-08-22 | PO BOX 2324, BIRMINGHAM, AL, 352012324, US | 124 S MEMORIAL DR, PRATTVILLE, AL, 360673619, US | |||||||||||||||||||||||
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| Phone | +1 877-812-7003 |
| Fax | 8185872493 |
| Phone | +1 334-365-0651 |
Authorized person
| Name | JOHN D MOOREHOUSE |
| Role | PRESIDENT |
| Phone | 3342721050 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | CB9143 |
| State | AL |
| Name | Role |
|---|---|
| TANAKA, PAUL K | Incorporator |
| MOOREHOUSE, JOHN D | Incorporator |
| Name | Role | Address |
|---|---|---|
| HARTLEY, GERALD W | Agent | 8650 MINNIE BROWN RD SUITE 124MONTGOMERY, AL 36117 |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
