| Name: | Valley Pulmonary and Critical Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 01 Sep 1998 (26 years ago) (Companies founded in September 1998) |
| Entity Number: | 000-197-594 |
| Register Number: | 000197594 |
| ZIP code: | 35601 (Companies in Morgan, 35601) |
| County: | Morgan |
| Place of Formation: | Morgan County |
| Principal Address: | DECATUR, AL |
| Registered Office Street Address: | 402 E MOULTON STDECATUR, AL 35601 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $1,000 |
Activities
PROFESSIONAL MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205904752 | 2006-12-01 | 2020-02-03 | 1101 SOMERVILLE RD SE, DECATUR, AL, 356013242, US | 1101 SOMERVILLE RD SE, DECATUR, AL, 356013242, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-353-4665 |
| Fax | 2563538982 |
Authorized person
| Name | MRS. MARTHA BOYLE |
| Role | PRACTICE MANAGER |
| Phone | 2563534665 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| License Number | 22105 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529804170 |
| State | AL |
| Issuer | BLUE CROSS& BLUE SHIELD |
| Number | 510-79820 |
| State | AL |
| Issuer | MEDICARE GROUP PTAN |
| Number | 102G702006 |
| State | AL |
| Name | Role |
|---|---|
| BOYLE, JAMES E | Incorporator |
| Name | Role | Address |
|---|---|---|
| WEAVER, LAWRENCE C | Agent | 300 MARKET STREET SUITE 201ABDECATUR, AL 35601 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
