| Name: | Women's Healthcare of Opelika, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 12 Jul 2006 (18 years ago) (Companies founded in July 2006) |
| Entity Number: | 000-248-130 |
| Register Number: | 000248130 |
| Historical Names: |
United Women's Healthcare, P.C.
|
| ZIP code: | 36801 (Companies in Lee, 36801) |
| County: | Lee |
| Place of Formation: | Chambers County |
| Registered Office Street Address: | 1711 PEPPERELL PARKWAYOPELIKA, AL 36801 |
| Authorized Capital: | $10,000 |
Activities
PROFESSIONAL MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831103704 | 2006-07-28 | 2021-12-03 | 1711 PEPPERELL PKWY, OPELIKA, AL, 368015548, US | 1711 PEPPERELL PKWY, OPELIKA, AL, 368015548, US | |||||||||||||||||||||||||
|
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| Phone | +1 334-756-2496 |
| Fax | 3347597513 |
Authorized person
| Name | DR. KIMBERLY D FIELDS |
| Role | PRESIDENT |
| Phone | 3347597510 |
Taxonomy
| Taxonomy Code | 207VG0400X - Gynecology Physician |
| License Number | 00027534 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009939716 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| FIELDS, KIMBERLY D | Agent | 1711 PEPPERELL PARKWAYOPELIKA, AL 36801 |
| Name | Role | Address |
|---|---|---|
| FIELDS, KIMBERLY D | Director | 1711 PEPPERELL PARKWAYOPELIKA, AL 36801 |
| Name | Role | Address |
|---|---|---|
| NIX, WILLIAM L | Incorporator | P. O. BOX 466WEST POINT, GA 31833 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2018-05-14 | Name Change | United Women's Healthcare, P.C. | Women's Healthcare of Opelika, P.C. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
