| Name: | Bay Tree Family Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 30 May 2001 (23 years ago) (Companies founded in May 2001) |
| Entity Number: | 000-216-745 |
| Register Number: | 000216745 |
| ZIP code: | 35582 (Companies in Franklin, 35582) |
| County: | Franklin |
| Place of Formation: | Franklin County |
| Principal Address: | RED BAY, AL |
| Registered Office Street Address: | 209 HOSPITAL RD NWRED BAY, AL 35582 |
| Authorized Capital: | $100 |
Activities
PRACTICE MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285793596 | 2006-12-06 | 2024-04-01 | 214 HOSPITAL RD, RED BAY, AL, 355823861, US | 214 HOSPITAL RD, RED BAY, AL, 355823861, US | |||||||||||||||||||||||||||||||
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| Phone | +1 256-356-5609 |
| Fax | 2563565611 |
Authorized person
| Name | DR. KRISTY LYNN CRANDELL |
| Role | PRESIDENT |
| Phone | 2563565609 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | 23116 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009957670 |
| State | AL |
| Issuer | MEDICAID |
| Number | 9015789 |
| State | MS |
| Name | Role |
|---|---|
| CRANDELL, KRISTY L | Agent |
| Name | Role |
|---|---|
| CRANDELL, KRISTY L | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
