Name: | Bessemer Primary Care, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Dissolved |
Date of registration: | 16 Oct 1998 (26 years ago) |
Date of dissolution: | 28 Feb 2022 |
Entity Number: | 000-198-627 |
Register Number: | 000198627 |
County: | Jefferson |
Place of Formation: | Jefferson County |
Principal Address: | BIRMINGHAM, AL |
Registered Office Street Address: | 2090 COLUMBIANA ROAD STE 4400BIRMINGHAM, AL 35216 |
Registered Office Street Address ZIP Code: | 35216 |
Authorized Capital: | $10,000 |
Paid Share Capital: | $200 |
Activities
PROFESSIONAL SERVICES OF MEDICINE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1114997210 | 2006-01-23 | 2020-08-22 | PO BOX 1201, CALERA, AL, 350401201, US | 722 MEMORIAL DR, BESSEMER, AL, 350226099, US | |||||||||||||||||||||||
|
Phone | +1 205-685-8036 |
Fax | 2056858077 |
Phone | +1 205-428-1110 |
Fax | 2054289981 |
Authorized person
Name | KAREN PORTANTE |
Role | OFFICE MANAGER |
Phone | 2054281110 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | DO-259 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
HASTY, WILLIAM D JR | Agent | 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216 |
Name | Role |
---|---|
PORTANTE, CHRISTOPHER | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State