Name: | WV Medical Services, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 31 Jan 2000 (25 years ago) (Companies founded in January 2000) |
Entity Number: | 000-207-991 |
Register Number: | 000207991 |
ZIP code: | 35401 (Companies in Tuscaloosa, 35401) |
County: | Tuscaloosa |
Place of Formation: | Tuscaloosa County |
Principal Address: | TUSCALOOSA, AL |
Registered Office Street Address: | 572 25TH STTUSCALOOSA, AL 35401 |
Authorized Capital: | $100 |
Activities
PRACTICE GENERAL MEDICINE
Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||
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E7CFKPY7KMT6 | 2024-07-02 | 4280 WATERMELON RD, STE 112, NORTHPORT, AL, 35473, 5163, USA | 4280 WATERMELON RD, STE 112, NORTHPORT, AL, 35473, 5163, USA | |||||||||||||||||||||||||||||||||||
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Congressional District | 07 |
State/Country of Incorporation | AL, USA |
Activation Date | 2023-07-05 |
Initial Registration Date | 2021-09-30 |
Entity Start Date | 2000-02-29 |
Fiscal Year End Close Date | Dec 31 |
Points of Contacts
Electronic Business | |
---|---|
Title | PRIMARY POC |
Name | DAWN HOGGLE |
Address | 4280 WATERMELON RD STE 112, NORTHPORT, AL, 35473, 5250, USA |
Government Business | |
---|---|
Title | PRIMARY POC |
Name | DAWN HOGGLE |
Address | 4280 WATERMELON RD STE 112, NORTHPORT, AL, 35473, 5250, USA |
Past Performance | Information not Available |
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NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1497739346 | 2005-12-05 | 2023-09-27 | 4280 WATERMELON RD STE 112, NORTHPORT, AL, 354735250, US | 4280 WATERMELON RD STE 112, NORTHPORT, AL, 354735250, US | |||||||||||||||||||||||||||||||
|
Phone | +1 205-750-0030 |
Fax | 2057500855 |
Authorized person
Name | RICHARD EDWIN JONES III |
Role | OWNER |
Phone | 2057500030 |
Taxonomy
Taxonomy Code | 207RR0500X - Rheumatology Physician |
License Number | 00019352 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS |
Number | 51504044 |
State | AL |
Issuer | MEDICAID |
Number | 529912100 |
State | AL |
Name | Role | Address |
---|---|---|
JONES, RICHARD | Agent | 2720 SHANANDOAH CTMOBILE, AL 36695 |
Name | Role | Address |
---|---|---|
LINDSEY, DANIEL L JR | Incorporator | 184 COMMERCE STREETMONTGOMERY, AL 36104-3960 |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State