Search icon

Nursing Home Physician Services, Inc.

Details

Name: Nursing Home Physician Services, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 30 Jun 1997 (27 years ago)
Entity Number: 000-188-876
Register Number: 000188876
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: ONE SOUTHERN WAYMOBILE, AL 36619
Registered Office Street Address ZIP Code: 36619
Authorized Capital: $50

Activities PROVIDE PHYSICIANS SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619920741 2006-05-18 2021-05-26 ONE SOUTHERN WAY, SUITE A, MOBILE, AL, 366191210, US 950 DAUPHIN ST, MOBILE, AL, 366042532, US

Contacts

Phone +1 251-433-9801
Fax 2514323630
Fax 2514339807

Authorized person

Name MR. MATTHEW J HALL
Role CFO
Phone 2514339801

Taxonomy

Taxonomy Code 207QG0300X - Geriatric Medicine (Family Medicine) Physician
Is Primary Yes

Agent

Name Role Address
BALL, CLARENCE M JR Agent ONE SOUTHERN WAYMOBILE, AL 36619

Incorporator

Name Role Address
BALL, CLARENCE M JR Incorporator ONE SOUTHERN WAYMOBILE, AL 36619

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State