Name: | Primary Providers of Alabama, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 03 Nov 2009 (15 years ago) |
Entity Number: | 000-262-473 |
Register Number: | 000262473 |
Historical Names: |
Allman Family Medicine, P.C.
|
County: | Madison |
Place of Formation: | Madison County |
Principal Address: | 1878 JEFF RD SUITE GHUNTSVILLE, AL 35806 |
Principal Address ZIP Code: | 35806 |
Registered Office Street Address: | 1878 JEFF RD STE GHUNTSVILLE, AL 35806 |
Registered Office Street Address ZIP Code: | 35806 |
Authorized Capital: | $1,000 |
Activities
PROFESSIONAL MEDICAL PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1659608974 | 2009-11-06 | 2016-12-20 | 1878 JEFF RD NW, SUITE G, HUNTSVILLE, AL, 358064260, US | 1878 JEFF RD NW, SUITE G, HUNTSVILLE, AL, 358064260, US | |||||||||||||||||
|
Phone | +1 256-428-0444 |
Authorized person
Name | DR. KATARINA ALLMAN |
Role | DIRECTOR |
Phone | 2565203341 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | L2805 |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
ALLMAN, JASON | Agent | 1878 JEFF RD STE GHUNTSVILLE, AL 35806 |
Name | Role | Address |
---|---|---|
ALLMAN, JASON | Director | 1878 JEFF RD STE GHUNTSVILLE, AL 35806 |
ALLMAN, KATARINA | Director | 1878 JEFF RD STE GHUNTSVILLE, AL 35806 |
Name | Role | Address |
---|---|---|
ALLMAN, JASON | Incorporator | 1878 JEFF RD STE GHUNTSVILLE, AL 35806 |
ALLMAN, KATARINA | Incorporator | 1878 JEFF RD STE GHUNTSVILLE, AL 35806 |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2016-11-07 | Name Change | Allman Family Medicine, P.C. | Primary Providers of Alabama, Inc. |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State