| Name: | Phoenix Emergency Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 22 Oct 2002 (22 years ago) |
| Entity Number: | 000-225-683 |
| Register Number: | 000225683 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | OWENS CROSSROADS, AL |
| Registered Office Street Address: | 3107 CHAMLEE PLOWENS CROSSROADS, AL 35763 |
| Registered Office Street Address ZIP Code: | 35763 |
| Authorized Capital: | $100 |
Activities
MEDICINE PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104958933 | 2007-03-09 | 2011-04-18 | 7105B BAILEY CREEK CIR SE, HUNTSVILLE, AL, 358022797, US | 7105B BAILEY CREEK CIR SE, HUNTSVILLE, AL, 358022797, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-882-7469 |
| Fax | 2564250046 |
Authorized person
| Name | KAREN R HALL |
| Role | BUSINESS MANAGER |
| Phone | 2568827469 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| License Number | C70324 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | 1-087797 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| License Number | 1-060554 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1821059288 |
| State | AL |
| Issuer | NPI |
| Number | 1467506535 |
| State | AL |
| Issuer | 51514602 |
| Number | 51514602 |
| State | AL |
| Name | Role |
|---|---|
| PLOTKA, MARSHALL | Incorporator |
| Name | Role |
|---|---|
| PLOTKA, MARSHALL | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
