| Name: | Red Bay Hospital Outpatient Clinics, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 30 May 2013 (11 years ago) |
| Date of dissolution: | 12 Aug 2016 |
| Entity Number: | 000-281-501 |
| Register Number: | 000281501 |
| County: | Franklin |
| Place of Formation: | Franklin County |
| Registered Office Street Address: | 211 HOSPITAL ROADRED BAY, AL 35582 |
| Registered Office Street Address ZIP Code: | 35582 |
Activities
OWN AND OPERATE HEALTH CARE FACILITIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205294428 | 2016-02-02 | 2016-02-02 | 930 FRANKLIN ST SE, HUNTSVILLE, AL, 358014312, US | 14490 COUNTY LINE ROAD, SUITE A, MUSCLE SHOALS, AL, 35661, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 256-519-8282 |
| Fax | 2565198327 |
| Phone | +1 256-661-2078 |
Authorized person
| Name | VINCENT BONETTI |
| Role | EXECUTIVE DIRECTOR, REVENUE CYCLE |
| Phone | 2562659641 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| License Number | B1704 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 157705 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| JONES, GLEN M | Agent | 221 HOSPITAL ROADRED BAY, AL 35582 |
| Name | Role | Address |
|---|---|---|
| ARNOLD, W DOUGLAS | Organizer | 1300 SOUTH MONTGOMERY AVENUESHEFFIELD, AL 35660 |
| JONES, GLEN M | Organizer | 221 HOSPITAL ROADRED BAY, AL 35582 |
| STRICKLAND, MORRIS S | Organizer | 1300 SOUTH MONTGOMERY AVENUESHEFFIELD, AL 35660 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
