| Name: | Emergystat of Sulligent, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 23 Jan 1995 (30 years ago) |
| Entity Number: | 000-169-195 |
| Register Number: | 000169195 |
| County: | Lamar |
| Place of Formation: | Lamar County |
| Principal Address: | VERNON, AL |
| Registered Office Street Address: | 150 EMERGYSTAT LOOPVERNON, AL 35592 |
| Registered Office Street Address ZIP Code: | 35592 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548228240 | 2006-05-02 | 2020-08-22 | PO BOX 1497, VERNON, AL, 355921497, US | 9420 HIGHWAY 18, VERNON, AL, 355925211, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 205-695-9800 |
| Fax | 2056957677 |
Authorized person
| Name | LARRY LUNAN |
| Role | CEO |
| Phone | 2056959800 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| License Number | 569 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS PROV # |
| Number | 51030994 |
| State | AL |
| Issuer | BLUE CROSS PROVIDER NUMBE |
| Number | 51031838 |
| State | AL |
| Issuer | BLUE CROSS PROV # |
| Number | 51076358 |
| State | AL |
| Issuer | BLUE CROSS PROV # |
| Number | 51094659 |
| State | AL |
| Issuer | BLUE CROSS PROV # |
| Number | 51037974 |
| State | AL |
| Issuer | BLUE CROSS PROV # |
| Number | 51096578 |
| State | AL |
| Issuer | BLUE CROSS PROV # |
| Number | 51098617 |
| State | AL |
| Issuer | BLUE CROSS PROV # |
| Number | 51510683 |
| State | AL |
| Name | Role |
|---|---|
| BELL, DUDLEY | Agent |
| Name | Role |
|---|---|
| CRAWFORD, GLENN | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
