| Name: | Pleasant Bay Ambulance Service, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 12 Sep 1997 (27 years ago) (Companies founded in September 1997) |
| Entity Number: | 000-190-064 |
| Register Number: | 000190064 |
| ZIP code: | 35582 (Companies in Franklin, 35582) |
| County: | Franklin |
| Place of Formation: | Franklin County |
| Principal Address: | RED BAY, AL |
| Registered Office Street Address: | 6475 HWY 25RED BAY, AL 35582 |
| Authorized Capital: | $1,000 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649355017 | 2006-10-26 | 2020-08-22 | PO BOX 133, RED BAY, AL, 355820133, US | 1301 JACKSON AVE N, RUSSELLVILLE, AL, 356531634, US | |||||||||||||||||||||||||
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| Phone | +1 256-331-4819 |
| Fax | 2563317491 |
Authorized person
| Name | ELZIE MALONE |
| Role | OWNER |
| Phone | 2563314819 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| License Number | 728 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS OF ALABAMA |
| Number | 51077449 |
| State | AL |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 76PS9 | Active | Non-Manufacturer | 2014-08-14 | 2016-06-11 | No data | No data | |||||||||||||
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| POC | ELZIE MALONE |
| Phone | +1 256-668-2412 |
| Address | 1301 N JACKSON AVE, RUSSELLVILLE, AL, 35653 1634, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| MALONE, ELZIE F | Agent |
| Name | Role |
|---|---|
| MALONE, ELZIE F | Incorporator |
| MALONE, MARTHA W | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
