| Name: | Jasper Anesthesia Care, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 19 Sep 2006 (18 years ago) |
| Entity Number: | 000-249-265 |
| Register Number: | 000249265 |
| County: | Walker |
| Place of Formation: | Walker County |
| Principal Address: | JASPER, AL |
| Registered Office Street Address: | 1906 DELAWARE AVEJASPER, AL 35501 |
| Registered Office Street Address ZIP Code: | 35501 |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | $100 |
Activities
PRACTICE OF ANESTHESIOLOGY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053372227 | 2006-03-29 | 2020-08-22 | PO BOX 235022, MONTGOMERY, AL, 361235022, US | 3400 HIGHWAY 78 E, JASPER, AL, 355018956, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 205-387-4000 |
Authorized person
| Name | DEE JAY CRUMPTON |
| Role | CLIENT MANAGER |
| Phone | 3343966930 |
Taxonomy
| Taxonomy Code | 207L00000X - Anesthesiology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MCTR GROUP # |
| Number | DB5370 |
| State | AL |
| Issuer | BCBS CLINIC ID |
| Number | F859 |
| State | AL |
| Issuer | MEDICARE GROUP # |
| Number | J913 |
| State | AL |
| Name | Role |
|---|---|
| PERSONS, H EDWARD | Agent |
| Name | Role |
|---|---|
| PERSONS, H EDWARD | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
