| Name: | Alabama Women's Health Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 19 Nov 2003 (21 years ago) |
| Entity Number: | 000-232-123 |
| Register Number: | 000232123 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 420 LOWELL DR SW STE 400HUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
| Authorized Capital: | $100,000 |
| Paid Share Capital: | $1,000 |
Activities
GENERAL MEDICINE PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902988751 | 2006-10-20 | 2007-07-17 | 420 LOWELL DR SE, SUITE 400, HUNTSVILLE, AL, 358013754, US | 420 LOWELL DR SE, SUITE 400, HUNTSVILLE, AL, 358013754, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 256-265-2555 |
| Fax | 2562652424 |
Authorized person
| Name | DIANE JOHNSON |
| Role | OFFICE MANAGER |
| Phone | 2562652555 |
Taxonomy
| Taxonomy Code | 207V00000X - Obstetrics & Gynecology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE ID-TYPE UNSPECIF |
| Number | K637 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529926420 |
| State | AL |
| Name | Role |
|---|---|
| SHEPPARD, RAYMOND L | Agent |
| Name | Role |
|---|---|
| SHEPPARD, RAYMOND L | Incorporator |
| FIORE, JOSEPH JR | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
