| Name: | Norman Family Health Center, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 24 Jan 2003 (22 years ago) |
| Date of dissolution: | 20 Dec 2012 |
| Entity Number: | 000-227-072 |
| Register Number: | 000227072 |
| County: | Franklin |
| Place of Formation: | Franklin County |
| Principal Address: | RED BAY, AL |
| Registered Office Street Address: | 221 HOSPITAL ROADRED BAY, AL 35582 |
| Registered Office Street Address ZIP Code: | 35582 |
| Authorized Capital: | $100 |
Activities
MEDICINE PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447249487 | 2005-10-20 | 2008-04-20 | 221 HOSPITAL RD, RED BAY, AL, 355823858, US | 221 HOSPITAL RD, RED BAY, AL, 355823858, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-356-8907 |
| Fax | 2563568903 |
Authorized person
| Name | DR. VICTOR D. NORMAN |
| Role | PRESIDENT |
| Phone | 2563568907 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 7490 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | 51513801 |
| State | AL |
| Issuer | RAILROAD MEDICARE |
| Number | DA1356 |
| State | AL |
| Issuer | ACS |
| Number | 08072572 |
| State | MS |
| Name | Role |
|---|---|
| NORMAN, VICTOR D | Agent |
| Name | Role |
|---|---|
| NORMAN, VICTOR D | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
