Name: | St. Vincent's Family Care-Blountsville, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Dissolved |
Date of registration: | 02 Dec 2010 (14 years ago) (Companies founded in December 2010) |
Date of dissolution: | 28 Sep 2012 |
Entity Number: | 000-304-798 |
Register Number: | 000304798 |
ZIP code: | 35205 (Companies in Jefferson, 35205) |
County: | Jefferson |
Place of Formation: | Jefferson County |
Principal Address: | BIRMINGHAM, AL |
Registered Office Street Address: | 810 ST VINCENT'S DR THIRD FL POB IBIRMINGHAM, AL 35205 |
Activities
OPERATE PHYSICAN PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1861795387 | 2010-12-07 | 2010-12-07 | 68278 MAIN ST, BLOUNTSVILLE, AL, 350313370, US | 68278 MAIN ST, BLOUNTSVILLE, AL, 350313370, US | |||||||||||||
|
Phone | +1 205-429-0051 |
Authorized person
Name | MR. SEAN TINNEY |
Role | PRESIDENT |
Phone | 2052743001 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Name | Role |
---|---|
O'NEIL, JOHN D | Agent |
Name | Role |
---|---|
UNIVERSAL HEALTH SERVICES | Member |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State