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Colbert Emergency Group, LLC

Details

Name: Colbert Emergency Group, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 16 Aug 2010 (14 years ago)
Date of dissolution: 26 Nov 2014
Entity Number: 000-300-669
Register Number: 000300669
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2000 INTERSTATE DR STE 204MONTGOMERY, AL 36109
Registered Office Street Address ZIP Code: 36109

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790091338 2010-08-20 2010-08-20 200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA, 705083870, US 201 AVALON AVE, MUSCLE SHOALS, AL, 356612805, US

Contacts

Phone +1 800-893-9698
Phone +1 256-386-1600

Authorized person

Name DR. WILLIAM C SCHUMACHER
Role CEO
Phone 8008939698

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes
Taxonomy Code 363AM0700X - Medical Physician Assistant
Is Primary No
Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary No

Agent

Name Role Address
THE CORPORATION COMPANY Agent 2000 INTERSTATE PARK DR STE 204MONTGOMERY, AL 36109

Member

Name Role
SCHUMACHER MEDICAL CORPORATION OF Member

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State