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Emergency Medical Associates, Inc.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
WISDA, JOHN S Agent 1344 DUG HILL ROADBROWNSBORO, AL 35741

Incorporator

Name Role
WISDA, JOHN S MD Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State