| Name: | Alabama Orthopedic Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 22 Dec 1998 (26 years ago) (Companies founded in December 1998) |
| Date of dissolution: | 16 Sep 2019 |
| Entity Number: | 000-199-625 |
| Register Number: | 000199625 |
| ZIP code: | 36081 (Companies in Pike, 36081) |
| County: | Pike |
| Place of Formation: | Pike County |
| Principal Address: | TROY, AL |
| Registered Office Street Address: | 1320 HIGHWAY 231 SOUTH STE 3TROY, AL 36081 |
| Authorized Capital: | $10,000 |
Activities
ORTHOPEDIC CARE & RELATED MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912044512 | 2007-01-31 | 2009-04-27 | 1018 S BRUNDIDGE ST, SUITE C, TROY, AL, 360813121, US | 1018 S BRUNDIDGE ST, SUITE C, TROY, AL, 360813121, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 334-566-8881 |
| Fax | 3345667785 |
Authorized person
| Name | DR. DARRELL JACK POTTER |
| Role | PRESIDENT |
| Phone | 3345668881 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 21790 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE RAILROAD |
| Number | POO203874 |
| State | AL |
| Issuer | MEDICAID |
| Number | PO000041005 |
| State | AL |
| Name | Role |
|---|---|
| POTTER, DARRELL | Agent |
| Name | Role |
|---|---|
| POTTER, DARRELL | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1998-12-28 | Name Merged | No data | DARRELL POTTER, M.D., P.C. (MI) Non-Qualified Foreign Into Domestic |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
