| Name: | Cullman Regional Hospitalist Services, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 30 Jun 2010 (14 years ago) |
| Entity Number: | 000-264-585 |
| Register Number: | 000264585 |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Principal Address: | CULLMAN, AL |
| Registered Office Street Address: | 1418 14TH ST SECULLMAN, AL 35055 |
| Registered Office Street Address ZIP Code: | 35055 |
| Authorized Capital: | $100 |
Activities
HOSPITALIST MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104138643 | 2010-07-13 | 2010-07-13 | 1948 AL HIGHWAY 157, SUITE 330, CULLMAN, AL, 350580642, US | 1912 AL HIGHWAY 157, CULLMAN, AL, 350580609, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 256-255-0228 |
| Fax | 2567398350 |
Authorized person
| Name | DR. JOHN D MORRIS |
| Role | OWNER |
| Phone | 2562550228 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 17629 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | 1-054737 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 363LA2100X - Acute Care Nurse Practitioner |
| License Number | 1-060971 |
| State | AL |
| Is Primary | No |
| Name | Role |
|---|---|
| MORRIS, JOHN D | Agent |
| Name | Role | Address |
|---|---|---|
| MCCLELLAN, NANCY F | Incorporator | 401 SECOND AVENUE SWCULLMAN, AL 35055 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
