| Name: | Riverview Anesthesia, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 20 Oct 2003 (21 years ago) (Companies founded in October 2003) |
| Date of dissolution: | 29 Dec 2023 |
| Entity Number: | 000-231-618 |
| Register Number: | 000231618 |
| ZIP code: | 36854 (Companies in Chambers, 36854) |
| County: | Chambers |
| Place of Formation: | Chambers County |
| Principal Address: | VALLEY, AL |
| Registered Office Street Address: | 4800 48TH STVALLEY, AL 36854 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $1,000 |
Activities
INVOICE/BILL/COLLECT/RECEIVE/DISBURSE FOR ANESTHESIA SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427013838 | 2006-04-19 | 2010-03-11 | PO BOX 661495, BIRMINGHAM, AL, 352661495, US | 4800 48TH ST, VALLEY, AL, 368543666, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 205-979-5882 |
| Fax | 2059791248 |
| Phone | +1 334-756-1848 |
| Fax | 3347561854 |
Authorized person
| Name | JAMES M HENDERSON JR. |
| Role | PRESIDENT |
| Phone | 3347561848 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | No |
| Taxonomy Code | 207LP2900X - Pain Medicine (Anesthesiology) Physician |
| Is Primary | No |
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529918490 |
| State | AL |
| Issuer | RAILROAD MEDICARE GROUP # |
| Number | DB2207 |
| State | AL |
| Issuer | BC BS AL COMMON PAY # |
| Number | F874 |
| State | AL |
| Name | Role |
|---|---|
| HENDERSON, JAMES M JR | Agent |
| Name | Role |
|---|---|
| HENDERSON, JAMES M JR | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
