| Name: | Hartselle Physicians, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Merged |
| Date of registration: | 14 Jun 1996 (28 years ago) (Companies founded in June 1996) |
| Entity Number: | 000-180-461 |
| Register Number: | 000180461 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Jefferson County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
| Authorized Capital: | $10 |
| Paid Share Capital: | -- |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730320748 | 2009-03-20 | 2010-09-09 | 501 CORPORATE CENTRE DR, SUITE 200, FRANKLIN, TN, 370672659, US | 310 PINE ST NW, HARTSELLE, AL, 356402316, US | |||||||||||||||||||||||||||||
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| Phone | +1 615-764-3000 |
| Fax | 6157643030 |
| Phone | +1 256-751-3000 |
Authorized person
| Name | MR. DANIEL S. SLIPKOVICH |
| Role | CEO |
| Phone | 6157643000 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | MD.30368 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| CIK number | Mailing Address | Business Address | Phone | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1522112 | 501 CORPORATE CENTRE DRIVE, TWO CORPORATE CENTRE, SUITE 200, FRANKLIN, TN, 37067 | 501 CORPORATE CENTRE DRIVE, TWO CORPORATE CENTRE, SUITE 200, FRANKLIN, TN, 37067 | 615-764-3000 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Form type | EFFECT |
| File number | 333-175188-03 |
| Filing date | 2011-09-30 |
| File | View File |
Filings since 2011-09-30
| Form type | 424B3 |
| File number | 333-175188-03 |
| Filing date | 2011-09-30 |
| File | View File |
Filings since 2011-09-28
| Form type | CORRESP |
| Filing date | 2011-09-28 |
| File | View File |
Filings since 2011-09-23
| Form type | S-4/A |
| File number | 333-175188-03 |
| Filing date | 2011-09-23 |
| File | View File |
Filings since 2011-09-21
| Form type | S-4/A |
| File number | 333-175188-03 |
| Filing date | 2011-09-21 |
| File | View File |
Filings since 2011-09-15
| Form type | UPLOAD |
| Filing date | 2011-09-15 |
| File | View File |
Filings since 2011-09-02
| Form type | S-4/A |
| File number | 333-175188-03 |
| Filing date | 2011-09-02 |
| File | View File |
Filings since 2011-07-25
| Form type | UPLOAD |
| Filing date | 2011-07-25 |
| File | View File |
Filings since 2011-06-28
| Form type | S-4 |
| File number | 333-175188-03 |
| Filing date | 2011-06-28 |
| File | View File |
| Name | Role |
|---|---|
| PAYTON, ROBIN J | Incorporator |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
