Name: | Alabama Anesthesiology and Pain Consultants, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 28 Nov 2000 (24 years ago) (Companies founded in November 2000) |
Entity Number: | 000-213-515 |
Register Number: | 000213515 |
Historical Names: |
Alabama Anesthesiology and Pain Consultants, P.C.
|
ZIP code: | 35125 (Companies in Saint Clair, 35125) |
County: | Saint Clair |
Place of Formation: | Jefferson County |
Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Principal Address: | 2804 DR. JOHN HAYNES DRPELL CITY, AL 35125 |
Authorized Capital: | $1,000 |
Activities
PRACTICE OF MEDICINE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1831388255 | 2007-10-22 | 2019-10-04 | 2804 DR. JOHN HAYNES DRIVE, PELL CITY, AL, 351251438, US | 2804 DR. JOHN HAYNES DRIVE, PELL CITY, AL, 351251438, US | |||||||||||||||||||||||||||
|
Phone | +1 205-338-6655 |
Fax | 2053386658 |
Authorized person
Name | MATTHEW BENNETT |
Role | MD / OWNER |
Phone | 2053386655 |
Taxonomy
Taxonomy Code | 207L00000X - Anesthesiology Physician |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICARE DMERC JURISDICTION C |
Number | PTAN 6721890001 |
State | AL |
Issuer | RAILROAD MEDICARE |
Number | DQ1146 |
State | AL |
Name | Role |
---|---|
CORPORATION SERVICE COMPANY, INC. | Agent |
Name | Role | Address |
---|---|---|
BENNETT, MATTHEW P | Incorporator | 1875 SWEETBRAIR LANDBIRMINGHAM, AL 35235 |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2020-12-22 | Name Change | Alabama Anesthesiology and Pain Consultants, P.C. | Alabama Anesthesiology and Pain Consultants, Inc. |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State