| Name: | Middle Creek Medical Center, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 06 Sep 2005 (19 years ago) |
| Entity Number: | 000-243-303 |
| Register Number: | 000243303 |
| Historical Names: |
Bent Brook Medical Center, P.C.
|
| County: | Jefferson |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 4810 BELL HILL ROADBESSEMER, AL 35022 |
| Registered Office Street Address ZIP Code: | 35022 |
| Authorized Capital: | $10,000 |
Activities
MEDICAL PRACTICE/SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881721512 | 2007-02-28 | 2014-03-18 | 4810 BELL HILL ROAD, BESSEMER, AL, 350226849, US | 4810 BELL HILL ROAD, BESSEMER, AL, 350226849, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 205-477-3737 |
| Fax | 2054770373 |
Authorized person
| Name | DOUGLAS K WOODWARD |
| Role | MEDICAL DIRECTOR |
| Phone | 2054773737 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WOODWARD, DOUGLAS K | Agent | 11829 SHADES CREEK DRIVECOTTONDALE, AL 35453 |
| Name | Role | Address |
|---|---|---|
| WOODWARD, DOUGLAS K. | Director | 11829 SHADES CREEK DRIVECOTTONDALE, AL 35453 |
| WOODWARD, ANGELIA M. | Director | 11829 SHADES CREEK DRIVECOTTONDALE, AL 35453 |
| Name | Role | Address |
|---|---|---|
| WOODWARD, DOUGLAS K | Incorporator | 11829 SHADES CREEK DRIVECOTTONDALE, AL 35453 |
| WOODWARD, ANGELIA M | Incorporator | 11829 SHADES CREEK DRIVECOTTONDALE, AL 35453 |
| ROBERTS, PAULA A | Incorporator | No data |
| POLHEMUS, JONATHAN | Incorporator | No data |
| LINDLEY, JEREMY E | Incorporator | No data |
| NELSON, MALCOLM R | Incorporator | No data |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2005-09-19 | Name Change | Bent Brook Medical Center, P.C. | Middle Creek Medical Center, P.C. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
