Name: | Emergency Medical Associates, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 02 Sep 1992 (32 years ago) |
Entity Number: | 000-151-961 |
Register Number: | 000151961 |
County: | Madison |
Place of Formation: | Madison County |
Principal Address: | HUNTVILLE, AL |
Registered Office Street Address: | 1344 DUG HILL ROADBROWNSBORO, AL 35741 |
Registered Office Street Address ZIP Code: | 35741 |
Registered Office Mailing Address: | P.O. BOX 26MADISON, AL 35758 |
Registered Office Mailing Address ZIP Code: | 35758 |
Authorized Capital: | $1,000 |
Paid Share Capital: | ---- |
Activities
PROVIDE MEDICAL PERSONNEL & SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1609960798 | 2006-10-03 | 2014-08-26 | PO BOX 2153, DRAWER 3172, BIRMINGHAM, AL, 352870002, US | 1 HOSPITAL DR SW, HUNTSVILLE, AL, 358016455, US | |||||||||||||||||||||||
|
Phone | +1 205-631-0149 |
Fax | 2056318292 |
Phone | +1 256-880-4177 |
Authorized person
Name | RIC A KOLER |
Role | PHYSICIAN |
Phone | 2565094784 |
Taxonomy
Taxonomy Code | 207P00000X - Emergency Medicine Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 529905530 |
State | AL |
Name | Role | Address |
---|---|---|
WISDA, JOHN S | Agent | 1344 DUG HILL ROADBROWNSBORO, AL 35741 |
Name | Role |
---|---|
WISDA, JOHN S MD | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State