Search icon

Primary Providers of Alabama, Inc.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
ALLMAN, JASON Agent 1878 JEFF RD STE GHUNTSVILLE, AL 35806

Director

Name Role Address
ALLMAN, JASON Director 1878 JEFF RD STE GHUNTSVILLE, AL 35806
ALLMAN, KATARINA Director 1878 JEFF RD STE GHUNTSVILLE, AL 35806

Incorporator

Name Role Address
ALLMAN, JASON Incorporator 1878 JEFF RD STE GHUNTSVILLE, AL 35806
ALLMAN, KATARINA Incorporator 1878 JEFF RD STE GHUNTSVILLE, AL 35806

Events

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