Name: | Inpatient Medical Consultants of North Alabama, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Dissolved |
Date of registration: | 05 Feb 2009 (16 years ago) |
Date of dissolution: | 23 Dec 2013 |
Entity Number: | 000-259-967 |
Register Number: | 000259967 |
Historical Names: |
Alabama Inpatient Medical Consultants, P.C.
|
County: | Madison |
Place of Formation: | Madison County |
Principal Address: | HUNTSVILLE, AL |
Registered Office Street Address: | 360 DUPREE DRHUNTSVILLE, AL 35806 |
Registered Office Street Address ZIP Code: | 35806 |
Authorized Capital: | 1,000 |
Activities
HEALTH CARE SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1891934642 | 2009-02-18 | 2011-01-31 | PO BOX 1814, MADISON, AL, 357585410, US | 1 HOSPITAL DR SW, HUNTSVILLE, AL, 358016455, US | |||||||||||||||||||
|
Phone | +1 256-429-5196 |
Fax | 2564294573 |
Authorized person
Name | DR. TRACY WILSON PULLIAM |
Role | PRESIDENT |
Phone | 2563614869 |
Taxonomy
Taxonomy Code | 208M00000X - Hospitalist Physician |
License Number | 026489 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
PULLIAM, TRACY | Agent |
Name | Role | Address |
---|---|---|
GALLO, EILEEN | Incorporator | 101 N BRAND BLVD 11TH FLOORGLENDALE, CA 91203 |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2009-11-19 | Name Change | Alabama Inpatient Medical Consultants, P.C. | Inpatient Medical Consultants of North Alabama, P.C. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State