| Name: | MedExpress Red Bay, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Feb 2014 (11 years ago) |
| Entity Number: | 000-296-199 |
| Register Number: | 000296199 |
| County: | Franklin |
| Place of Formation: | Franklin County |
| Registered Office Street Address: | 221 HOSPITAL ROADRED BAY, AL 35582 |
| Registered Office Street Address ZIP Code: | 35582 |
Activities
HEALTH CARE FACILITIES / OUTPATIENT MEDICAL CLINICS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013375237 | 2016-02-02 | 2016-02-02 | 221 HOSPITAL RD, RED BAY, AL, 355823858, US | 221 HOSPITAL RD, RED BAY, AL, 355823858, US | |||||||||||||||||||||||||
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| Phone | +1 256-356-8907 |
| Fax | 2563568903 |
Authorized person
| Name | VINCENT BONETTI |
| Role | EXECUTIVE DIRECTOR, REVENUE CYCLE |
| Phone | 2562659641 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| License Number | B3004 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 161453 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| JONES, GLEN M | Agent | 221 HOSPITAL ROADRED BAY, AL 35582 |
| Name | Role | Address |
|---|---|---|
| STRICKLAND, MORRIS S | Organizer | 1300 SOUTH MONTGOMERY AVENUESHEFFIELD, AL 35660 |
| ARNOLD, W DOUGLAS | Organizer | 1300 SOUTH MONTGOMERY AVENUESHEFFIELD, AL 35660 |
| JONES, GLEN M | Organizer | 221 HOSPITAL ROADRED BAY, AL 35582 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
