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Bessemer Primary Care, P.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
HASTY, WILLIAM D JR Agent 2090 COLUMBIANA ROAD STE 2000BIRMINGHAM, AL 35216

Incorporator

Name Role
PORTANTE, CHRISTOPHER Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State