| Name: | Baldwin Physician Services, PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Dissolved |
| Date of registration: | 18 Jan 2005 (20 years ago) (Companies founded in January 2005) |
| Date of dissolution: | 03 Jul 2014 |
| Entity Number: | 000-239-298 |
| Register Number: | 000239298 |
| ZIP code: | 36652 (Companies in Mobile, 36652) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 5 INFIRMARY CIRMOBILE, AL 36652 |
| Authorized Capital: | $3,000 |
Activities
PRACTICE MEDICAL
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891723441 | 2006-06-30 | 2013-01-10 | PO BOX 830529, BIRMINGHAM, AL, 352830529, US | 1815 HAND AVE, BAY MINETTE, AL, 365074110, US | |||||||||||||||||||||||||||||||
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| Phone | +1 251-435-2646 |
Authorized person
| Name | WILLIAM E ADMIRE |
| Role | CEO & SEC/TRES |
| Phone | 2514352646 |
Taxonomy
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DD7762 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529923330 |
| State | AL |
| Issuer | BCBS |
| Number | G487 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| STONE, HERBERT A JR | Incorporator | 33480 ALDER CIRSPANISH FORT, AL 36527-9095 |
| ADMIRE, WILLIAM E JR | Incorporator | No data |
| Name | Role |
|---|---|
| ADMIRE, WILLIAM E | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
